Cognomen Alexieva (Alexieva 
) , in the world, is a rare family name. The cognomen Alexieva is habitual in Bulgaria, where it is quite a rare surname, Estonia, where it is a rare surname, and Greece. Measured by absolute frequency, the name is most common in Bulgaria, the United States, and Greece. Very seldom, Alexieva is the forename as well as the last name.
| VARIANT | COUNTRY |
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| Alexieva | Germany, Bulgaria, Greece, France, United States |
| elena alexieva Bulgarian rower, BG (b. 1950) |
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| zwetelina alexieva jewelry designer, BG (b. 1967) |
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| iordanka alexieva researcher ORCID ID = 0000-0001-5508-7893 |
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| zlatka alexieva researcher |
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Ms, Sonia, Alisa, Anita, Ciana, Boyka, Katia, Krisi, Petia, Penka, Diana, Donka, Galja, Ganka, Jenny, Julia, Tania, Nadia, Nadja, Nelly, Elica, Elena, Maria, Zoya, Yana, Olia, Ana, Ani, Ina, Iva, Maya, Mila, Mira, Mimi, Stef, Alex, Vania, Anna, Rada, Rali, Rumi, Dani, Dora, Jana, Nina, Neli, Elka, Vera, Boni, and Vassy