Healthcare Provider Details
I. General information
NPI: 1821608878
Provider Name (Legal Business Name): ALEXIS ELIN FLIEHS MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/05/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2901 W BELTLINE HWY STE 301
MADISON WI
53713-4228
US
IV. Provider business mailing address
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US
V. Phone/Fax
- Phone: 608-235-4460
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 14370-30 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 14370-30 |
| License Number State | WI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 403413 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: