Healthcare Provider Details

I. General information

NPI: 1003732397
Provider Name (Legal Business Name): ALEXIS FRIGYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 EMILE ST
OMAHA NE
68198-0600
US

IV. Provider business mailing address

2722 N 191ST AVE
ELKHORN NE
68022-2927
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6000
  • Fax:
Mailing address:
  • Phone: 402-639-7544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: