Provider Demographics
NPI:1356796858
Name:AYUPOVA, NARGIZA A (DNP)
Entity type:Individual
Prefix:
First Name:NARGIZA
Middle Name:A
Last Name:AYUPOVA
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ASHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1501
Mailing Address - Country:US
Mailing Address - Phone:386-237-2268
Mailing Address - Fax:
Practice Address - Street 1:203 ASHWOOD CT
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-1501
Practice Address - Country:US
Practice Address - Phone:386-237-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9300404363LP2300X, 363LP2300X
FLRN9300404163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice