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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEENA SURERUS, LPN

Active

DEENA SURERUS, LPN is a Licensed Practical Nurse healthcare provider located in IDAHO FALLS, Idaho. NPI 1497615090 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · IDAHO FALLS, ID

Registration Details

NPI Number
1497615090
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2025 (0.70331597286086 yrs)
Last Updated
Nov 15, 2025
License
1722 (ID)

Practice Information

Address
2265 W BROADWAY ST
IDAHO FALLS, ID, 834022996
Browse ID providers · Browse ZIP 83402
Phone
2085247400
Fax
2085248004
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in IDAHO FALLS, ID

Name Credential NPI
AUDREY DALLEY LPN 1144330374
STEVEN MIRANDA LPN 1679951545
MICHAEL ADAM MARION LPN 1073469763
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.