Individual
TIMOTHY WILLIAM ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
4389 BEAUFORT ROAD, CHERRY POINT, NC 28533
(252) 466-0500
Mailing address
3055 CUKELA AVE, CAMP LEJEUNE, NC 28547-1434
(757) 695-0112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11034040
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2021
Last updated
01/21/2025
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