Healthcare Provider Details

I. General information

NPI: 1710436548
Provider Name (Legal Business Name): BRETT BUTTERFIELD N.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 14TH AVE S
NAMPA ID
83651-4309
US

IV. Provider business mailing address

109 14TH AVE S
NAMPA ID
83651-4309
US

V. Phone/Fax

Practice location:
  • Phone: 208-960-0454
  • Fax: 208-228-1232
Mailing address:
  • Phone: 208-960-0454
  • Fax: 208-228-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: