Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Doreen Kay Pupo, CRNP

Individual provider Nurse Practitioner · NPI 1194086868

Doreen Kay Pupo, CRNP is a Nurse Practitioner in Plymouth Meeting, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Suburban Geriatric's, Inc, a 100-clinician group. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2012
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone: (610) 272-8221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP011849 (PA)

Record details

NPI number1194086868
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Suburban Geriatric'S, Inc. — 100 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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