Healthcare Provider Details

I. General information

NPI: 1942026687
Provider Name (Legal Business Name): SHAWNDA TOSEL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 WISCONSIN AVE
BENSON MN
56215-1653
US

IV. Provider business mailing address

2090 HIGHWAY 12 SW
APPLETON MN
56208-2663
US

V. Phone/Fax

Practice location:
  • Phone: 320-843-2030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12332
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: