Individual provider · Type 1 NPI

Deena Surerus, LPN

Licensed Practical Nurse · Idaho Falls, ID

NPI number 1497615090 Active

Practice location

2265 W Broadway St
Idaho Falls, ID 83402-2996

Call (208) 524-7400 Map

Fax (208) 524-8004

Other practice locations

  • 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 · (208) 524-7400

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X1722 (ID)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

75 other providers at this address

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About NPI 1497615090

Deena Surerus, LPN's National Provider Identifier is 1497615090, issued on Nov 15, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 15, 2025.