Healthcare Provider Details

I. General information

NPI: 1598270464
Provider Name (Legal Business Name): ABIGAIL ELIZABETH TOFFOLI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2017
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E 28TH ST STE 460
MINNEAPOLIS MN
55407-1286
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-7770
  • Fax:
Mailing address:
  • Phone: 612-262-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number12607
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: