Individual provider · Type 1 NPI
Ethan S. Asur
Primary Care Nurse Practitioner · Reseda, CA
NPI number
1982516100
Active
Practice location
19044 Archwood St Unit 8
Reseda, CA 91335-5124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95041619 (CA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1982516100
Ethan S. Asur's National Provider Identifier is 1982516100, issued on Sep 22, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Reseda, CA. The record was last updated on Sep 22, 2026.