Individual
FELICIA C IKEBUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2232
Mailing address
5712 162ND LN NW, RAMSEY, MN 55303-3980
(612) 267-0424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R-155858-0
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022
MN
Other
Enumeration date
02/05/2014
Last updated
03/26/2025
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