Waldum, Penny Jo

Waldum, Penny Jo is an individual health care provider with primary practice located at 2222 E 5Th St , Superior WI 54880-3709. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Waldum, Penny Jo can be contacted via phone (715) 392-1955.

Contact Information

Primary practice address
2222 E 5Th St Superior WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2043010 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X 174931-30 Wisconsin

Profile Details

NPI number 1003279332
LBN Legal business name Waldum, Penny Jo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Jan 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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