AMETHYST ENTSUAH
NPI 1053858779
Nurse Practitioner in Victorville, CA

Q: What is Amethyst Entsuah's NPI number?

The NPI number for Amethyst Entsuah is 1053858779. It was assigned to this individual provider in the NPPES registry on January 20, 2017.

Q: What is Amethyst Entsuah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amethyst Entsuah was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2017

15403 PARK AVE E, VICTORVILLE, CA 92392(714) 633-6373 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2023, Jan 20, 2017 (2 updates tracked since 2017).

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About Amethyst Entsuah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMETHYST ENTSUAH (NPI 1053858779) is an individual nurse practitioner in Victorville, California, licensed in California (95024030) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1053858779

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMETHYST ENTSUAH

Location Address15403 PARK AVE EVictorville, CA 92392-2482

Mailing Address801 E Katella AveAnaheim, CA 92805-6614 · (714) 633-6373

Phone(714) 633-6373

Sole ProprietorNo

Enumeration DateJanuary 20, 2017

Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1053858779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95024030

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95052687 (CA)

15403 PARK AVE E, Victorville, CA 92392

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDE M OWEN CNM

Advanced Practice Midwife