Provider Demographics
NPI:1902192610
Name:TOFTE, PAULA SUE (APRN, CNP, PMHNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:SUE
Last Name:TOFTE
Suffix:
Gender:F
Credentials:APRN, CNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 411TH AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEVIDEO
Mailing Address - State:MN
Mailing Address - Zip Code:56265-4420
Mailing Address - Country:US
Mailing Address - Phone:320-435-6011
Mailing Address - Fax:320-208-2534
Practice Address - Street 1:303 BEECH ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3968
Practice Address - Country:US
Practice Address - Phone:413-540-1100
Practice Address - Fax:413-594-3150
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-156155-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNR156155-1OtherMN RN
SDR036084OtherSD RN
MARN-TEMP7453OtherMA RN CNP