Provider Demographics
NPI:1124902630
Name:ALEXANDER, MICHAEL N JR
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:N
Last Name:ALEXANDER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-6156
Mailing Address - Country:US
Mailing Address - Phone:402-281-5455
Mailing Address - Fax:
Practice Address - Street 1:809 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-6156
Practice Address - Country:US
Practice Address - Phone:402-281-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide