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Individual

DINARA YUSUPOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 OAKLYNN PL, GLEN ROCK, NJ 07452-2822
(347) 444-4053
Mailing address
11 OAKLYNN PL, GLEN ROCK, NJ 07452-2822

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22668300
NJ
163WC2100X
Continence Care Registered Nurse
26NR22668300
NJ
163WG0000X
General Practice Registered Nurse
26NR22668300
NJ
163WH0200X
Home Health Registered Nurse
26NR22668300
NJ
163WM0705X
Medical-Surgical Registered Nurse
26NR22668300
NJ
163WW0000X
Wound Care Registered Nurse
Primary
26NR22668300
NJ
163WX1500X
Ostomy Care Registered Nurse
26NR22668300
NJ

Other

Enumeration date
02/05/2026
Last updated
02/05/2026
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