AMETHYST ENTSUAH

Nurse Practitioner

Active Individual
NPI: 1053858779

Practice Address

15403 PARK AVE E
Victorville, CA 92392

Phone: (714) 633-6373

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 95052687 (CA)
Nurse Practitioner 363L00000X Yes 95024030 (CA)

Frequently Asked Questions

NPI 1053858779 is the National Provider Identifier for AMETHYST ENTSUAH, a Nurse Practitioner provider located in Victorville, CA. This NPI was enumerated on January 20, 2017.
AMETHYST ENTSUAH practices at 15403 PARK AVE E, Victorville, CA 92392.

Quick Facts

NPI
1053858779
Type
Individual
Enumerated
Jan 20, 2017
Last Updated
Mar 29, 2023

Nearby Providers