NPI 1003279332
Penny Jo Waldum, RN
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
Registered Nurse
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.