Individual provider · NPI-1

Alexandria Mickenzie Betz, DO

Obstetrics & Gynecology, Maternal & Fetal Medicine · Portland, ME

NPI number1538458377
StatusActive
Last updated in NPPESApr 23, 2024

Details

NPI
1538458377
Entity type
Individual (NPI-1)
Name
Alexandria Mickenzie Betz
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2011
Certification date
Apr 23, 2024
Last updated
Apr 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineDO2906MEYes
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine23858NH
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineDO-04699IA

Practice location

887 Congress St Ste 200
Portland, ME 04102-3166

Phone 207-771-5549

Mailing address

100 N Academy Ave Dept Of
Danville, PA 17822-9800

Phone 443-722-3488

Other practice locations

330 Sabattus St
Lewiston, ME 04240-5553

Phone 207-777-4300 · Fax 207-755-3021

3073 White Mountain Hwy
North Conway, NH 03860-7101

Phone 603-356-9355 · Fax 603-356-8843

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