Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penny Jo Waldum, RN

Individual provider Registered Nurse · NPI 1003279332

Penny Jo Waldum, RN is a Registered Nurse in Superior, Wisconsin. Works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

2222 E 5th St
Superior, WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4325 Grand Ave, Duluth, MN 55807-2730 — (218) 722-1497

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 174931-30 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 2043010 (MN)

Record details

NPI number1003279332
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address2222 E 5th St, Superior, WI 54880-3709

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