Organization
VICTORY TOTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA C IKEBUDE NURSE PRACTITIONER (PARTNER)
(612) 267-0424
Entity
Organization
Contact information
Practice address
417 2ND AVE NE, OSSEO, MN 55369-1108
(763) 325-8368
(763) 402-7732
Mailing address
5712 162ND LN NW, RAMSEY, MN 55303-3980
(612) 267-0424
(763) 402-7732
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
05/04/2026
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