MR. BRETT BUCKLEY MAXFIELD RN NPI 1457563843

NPI Information

  • NPI: 1457563843
  • Provider Name: MR. BRETT BUCKLEY MAXFIELD, RN
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1293 MOONSTONE DR
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 709-3295

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NPI Details

MR. Brett Buckley Maxfield, RN is a student in an organized health care education training program in Idaho Falls, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Brett Buckley Maxfield, RN NPI is 1457563843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1293 MOONSTONE DR
IDAHO FALLS, ID
ZIP 83401-411
Phone: (208) 709-3295

The enumeration date for this NPI number is 5/6/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseN-34179IDAHONo
2163WC0200XRegistered NurseCritical Care MedicineN-34179IDAHONo
3390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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