Provider Demographics
NPI:1851251326
Name:MUTYABA-PRINGLE, MARION MARGARET (RN)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:MARGARET
Last Name:MUTYABA-PRINGLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-5611
Mailing Address - Country:US
Mailing Address - Phone:781-518-3249
Mailing Address - Fax:
Practice Address - Street 1:18 JOHN ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-5611
Practice Address - Country:US
Practice Address - Phone:781-518-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2342595163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse