Individual provider · Type 1 NPI

Alec Marshall Antanaitis

Gerontology Nurse Practitioner · Jefferson, IA

NPI number 1104715770 Active

About NPI 1104715770

Alec Marshall Antanaitis's National Provider Identifier is 1104715770, issued on Jun 30, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jefferson, IA. The record was last updated on Mar 13, 2026.