Provider Demographics
NPI:1689439267
Name:ASANTE, DAVID JR (NP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:ASANTE
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 ROBIN WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-8964
Mailing Address - Country:US
Mailing Address - Phone:410-868-4688
Mailing Address - Fax:
Practice Address - Street 1:11711 ROBIN WOODS CIR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22551-8964
Practice Address - Country:US
Practice Address - Phone:410-868-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185797363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics