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General NPI Number Information
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NPI Number | 1306552146
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Entity Type | Individual
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Provider Name | ALYSSA JOY CONNORS CNM, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2999 REGENT ST STE 524
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City | BERKELEY
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State | CA
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Zip | 94705-2120
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Country | US
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Telephone | 510-495-0310
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Fax |
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Provider Business Mailing Address
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Address Line | 112 LA CASA VIA STE 300
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3059
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 236318
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95022782
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License Number State | CA
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