| Deena Surerus, LPN | |
|
2265 W Broadway St, Idaho Falls, ID 83402-2996 | |
| (208) 524-7400 | |
| (208) 524-8004 |
| Full Name | Deena Surerus |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2265 W Broadway St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497615090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 1722 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Deena Surerus, LPN 2265 W Broadway St, Idaho Falls, ID 83402-2996 Ph: (208) 524-7400 | Deena Surerus, LPN 2265 W Broadway St, Idaho Falls, ID 83402-2996 Ph: (208) 524-7400 |
Audrey Dalley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 496 A St, Idaho Falls, ID 83402 Phone: 208-552-7100 Fax: 208-552-7101 | |
Steven Miranda, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402 Phone: 707-391-0538 | |
Allison Tolman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6198 S 46th E, Idaho Falls, ID 83406 Phone: 307-272-7801 |