# MR. TIMOTHY CHARLES MARKANTES III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972879211
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP3411 | AZ | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | AP3278 | AZ | — |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 10/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 163191 | — | AZ |