ALEC M ANTANAITIS, Gerontology JEFFERSON, IA

Contact Information

ALEC M ANTANAITIS

1000 W LINCOLN WAY
JEFFERSON, IA 50129-1685

Phone: 515-386-2114
Fax: 515-386-8899
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ALEC M ANTANAITIS · (Male)

NPI Number	`1104715770`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/30/2025
Last updated	03/13/2026 - About 3 months ago
Sole proprietor ¹	No
Identifiers	IA License # H184694
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ALEC M ANTANAITISGerontology

Contact Information

Specialty

Gerontology

NPI Profile & details for ALEC M ANTANAITIS · (Male)

Reviews for ALEC M ANTANAITIS

ALEC M ANTANAITIS
Gerontology