IndividualActive
Alexander Boardman
NPI 1619774767 · Specialist · Omaha, NE
Provider details
- NPI number
- 1619774767
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
12105 Shirley St
Omaha, NE 68144-2803
Phone: (402) 917-6122
Approximate (ZIP-level) locationGet directions
Mailing address
4715 S 132nd St
Omaha, NE 68137-1899
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.