Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ALEC MARSHALL ANTANAITIS
ActiveMR. ALEC MARSHALL ANTANAITIS is a Gerontological Nurse Practitioner healthcare provider located in JEFFERSON, Iowa. NPI 1104715770 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · JEFFERSON, IA
Registration Details
- NPI Number
- 1104715770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2025 (1.078971457887 yrs)
- Last Updated
- Jun 30, 2025
- License
-
H184694 (IA)
Practice Information
- Address
-
1000 W LINCOLN WAYJEFFERSON, IA, 501291685Browse IA providers · Browse ZIP 50129
- Phone
- 5153862114
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.