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

Amethyst Entsuah

Individual provider Registered Nurse · NPI 1053858779

Amethyst Entsuah is a Registered Nurse in Victorville, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

15403 Park Ave E
Victorville, CA 92392-2482
Phone: (714) 633-6373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95024030 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95052687 (CA)

Record details

NPI number1053858779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2017
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address801 E Katella Ave, Anaheim, CA 92805-6614

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