Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Max Boyd III, NNP

Individual provider Registered Nurse · NPI 1417423708

Mr. Max Boyd III, NNP is a Registered Nurse in Boise, Idaho. Works from 2 locations. Licensed in Idaho and Texas.

Licensed in
ID, TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1327 Cresswell Cv, San Antonio, TX 78258-7580 — (210) 831-2766

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 61248 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 739902 (TX)

Record details

NPI number1417423708
Entity typeIndividual (Type 1)
GenderMale
Credentials NNP
Sole proprietorNo
NPI enumeratedOctober 15, 2018
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

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