Healthcare Provider Details

I. General information

NPI: 1346163102
Provider Name (Legal Business Name): PRETTYSUSAN JB NABBUMBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 WORCESTER RD UNIT 419
FRAMINGHAM MA
01702-8948
US

IV. Provider business mailing address

1550 WORCESTER RD UNIT 419
FRAMINGHAM MA
01702-8948
US

V. Phone/Fax

Practice location:
  • Phone: 781-354-1964
  • Fax:
Mailing address:
  • Phone: 781-354-1964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN10043163
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: