Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Victor Davis Patrick

Individual provider Family Nurse Practitioner · NPI 1124494414

Victor Davis Patrick is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2016, 10 years ago. Practices with Amazing Health, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

625 Snelling Ave N Ste A
Saint Paul, MN 55104-5585
Phone: (651) 363-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4761 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP 4761 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4761 (MN)

Record details

NPI number1124494414
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address625 Snelling Ave N Apt A, Saint Paul, MN 55104-5585

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Amazing Health — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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