Individual
MR. BRETT BUCKLEY MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1293 MOONSTONE DR, IDAHO FALLS, ID 83401-2411
(208) 709-3295
Mailing address
1293 MOONSTONE DR, IDAHO FALLS, ID 83401-2411
(208) 709-3295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-34179
ID
163WC0200X
Critical Care Medicine Registered Nurse
N-34179
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2007
Last updated
09/11/2025
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