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Contact Information

MAX BOYD III, NNP
190 E BANNOCK ST
BOISE, ID83712-6241
 Phone: 208-381-2074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MAX BOYD III · (Male)

NPI Number 1417423708
Status Active
Credentials NNP
Entity Individual
Enumeration date 10/15/2018
Last updated 03/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 61248
  • TX License # 739902
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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