IndividualActive
Penny Jo Waldum, RN
NPI 1003279332 · Registered Nurse · Superior, WI
Penny Jo Waldum, RN is a Registered Nurse provider in Superior, WI (NPI 1003279332).
Provider details
- NPI number
- 1003279332
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 2043010 (MN)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2222 E 5th St
Superior, WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Street-level locationGet directions
Mailing address
2222 E 5th St
Superior, WI 54880-3709
Additional practice locations (1)
- 4325 Grand AveDuluth, MN 55807-2730Phone: (218) 722-1497Fax: (218) 722-6239
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Frequently asked questions
- What is Penny Jo Waldum's NPI number?
- Penny Jo Waldum's National Provider Identifier (NPI) is 1003279332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Penny Jo Waldum's specialty?
- Penny Jo Waldum is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Penny Jo Waldum located?
- Penny Jo Waldum's practice location on file with NPPES is 2222 E 5th St, Superior, WI 54880-3709.
- What is Penny Jo Waldum's phone number?
- The practice phone number listed in the NPPES registry for Penny Jo Waldum is (715) 392-1955.
- Is Penny Jo Waldum's NPI active?
- Yes — Penny Jo Waldum's NPI (1003279332) is active in the NPPES registry as of the last update on 2024-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.