Entsuah, Amethyst

Entsuah, Amethyst is an individual health care provider with primary practice located at 15403 Park Ave E , Victorville CA 92392-2482. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Entsuah, Amethyst can be contacted via phone (714) 633-6373.

Contact Information

Primary practice address
15403 Park Ave E Victorville CA 92392-2482
Phone: (714) 633-6373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95052687 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95024030 California

Profile Details

NPI number 1053858779
LBN Legal business name Entsuah, Amethyst
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2017
Last updated Mar 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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