| Victory Total Health Llc | |
|
5712 162nd Ln Nw Ramsey MN 55303-3980 | |
| (612) 267-0424 | |
| Not Available |
| Full Name | Victory Total Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5712 162nd Ln Nw, Ramsey, Minnesota |
| Authorized Official Name and Position | Felicia C Ikebude (PARTNER) |
| Authorized Official Contact | 6122670424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Total Health Llc 5712 162nd Ln Nw Ramsey MN 55303-3980 Ph: (612) 267-0424 | Victory Total Health Llc 5712 162nd Ln Nw Ramsey MN 55303-3980 Ph: (612) 267-0424 |
| NPI Number | 1760293617 |
|---|---|
| Provider Enumeration Date | 01/18/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Medicare PECOS PAC ID | 5395263156 |
|---|---|
| Medicare Enrollment ID | O20250515001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760293617 | NPI | - | NPPES |
| Provider Name | Felicia C Ikebude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275957771 PECOS PAC ID: 3870725146 Enrollment ID: I20140421001257 |
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