NPI 1497615090

Deena Surerus, LPN

Practitioner Licensed Practical Nurse Idaho Falls, ID

Practice location

Address: 2265 W Broadway St, Idaho Falls, ID 83402-2996
Phone: (208) 524-7400
Fax: (208) 524-8004

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 1722 (ID)

Other Licensed Practical Nurse providers in Idaho →

Registry record

NPI: 1497615090
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2025
Record last updated: 15 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.