Individual
ALEXANDRA H AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 UNION ST, BANGOR, ME 04401-8602
(207) 973-8030
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1355
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194045153
—
ME
Enumeration date
06/01/2010
Last updated
04/28/2017
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