MEDICARE: DEEANN HERTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LP61287310	WA

General Provider Information

NPI Number	:	1811766215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEANN HERTA

Provider Business Mailing Address
First Line	:	4118 S COOK ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-4425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4118 S COOK ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-4425
Country	:	US
Telephone Number	:	509-816-2969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	12/27/2023

Similar Medicare Providers

1710562608 — ASHLEY HOUSE
Practice Location Address:

4118 S COOK ST
SPOKANE, WA
99223-4425

Practice Phone: 253-533-9050
Practice Fax:

1710756119 — MICHELLE RICHARDSON
Practice Location Address:

4118 S COOK ST
SPOKANE, WA
99223-4425

Practice Phone: 509-816-2969
Practice Fax:

1255100657 — TARA NEWMAN
Practice Location Address:

4118 S COOK ST
SPOKANE, WA
99223-4425

Practice Phone: 509-816-2969
Practice Fax:

1043741952 — TOBIAH JOEL CEWE DPT
Practice Location Address:

2710 E 57TH AVE
SPOKANE, WA
99223-6678

Practice Phone: 509-252-2354
Practice Fax: 509-252-2357

1962832212 — MISS SHERRI R. EDEN BS, MS, C.HT
Practice Location Address:

5317 S PALOUSE HWY , 381C
SPOKANE, WA
99223-7802

Practice Phone: 509-995-9743
Practice Fax:

1447101555 — MEGAN ANDERSON RD LD CDCES
Practice Location Address:

4015 E 40TH AVE
SPOKANE, WA
99223-6032

Practice Phone: 512-484-2522
Practice Fax:

Directions to “ DEEANN HERTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.