IndividualActive
Max Boyd, NNP
NPI 1417423708 · Neonatal Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1417423708
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Male
- Sole proprietor
- No
- License
- 739902 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2074
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 1327 Cresswell CvSan Antonio, TX 78258-7580Phone: (210) 831-2766
Registry dates
- Enumerated
- 2018-10-15
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.