Timothy William Altizer, DNP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cherry Point, NC
NPI 1083379739 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1083379739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN11034040 (FL)
- Practice address
- 4389 Beaufort Road
Cherry Point, NC 28533 - Phone
- (252) 466-0500
- NPI assigned
- Nov 7, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034040 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11034040 | FL | Yes |
Addresses
Primary practice location
4389 Beaufort Road
Cherry Point, NC 28533
Mailing address
3055 Cukela Ave
Camp Lejeune, NC 28547-1434
Phone (757) 695-0112
Other practice location 1
4301 Jones Bridge Rd
Bethesda, MD 20814-4712
Phone (301) 295-1025
Other providers in Cherry Point, NC
- Tonya Carpenter Andrews
- Elizabeth Anne Gerdun Ashby
- Anne Ashton
- Dixie Lee Aune
- Kevin Patrick Barrett
All providers in Cherry Point, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.