Whalio Doctors

NPI 1003279332

Penny Jo Waldum, RN

Practitioner Registered Nurse Superior, WI

Practice location

Address
2222 E 5th St, Superior, WI 54880-3709
Phone
(715) 392-1955
Fax
(715) 392-1935

Registered specialties (2)

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 174931-30 (WI)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 2043010 (MN)

Registry record

NPI
1003279332
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Apr 2016
Record last updated
30 Jan 2024

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.