Individual
CARISSA NICOLE PUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8259
(570) 703-7250
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 703-8259
(570) 703-7250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN684783
PA
Other
Enumeration date
06/06/2022
Last updated
01/05/2026
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