Individual
MS. ABIGAIL ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, E/SHAPIRO 6, BOSTON, MA 02215
(617) 754-9600
(617) 667-8665
Mailing address
11 BEECHER TER UNIT 2, NEWTON, MA 02459-2345
(770) 851-0912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2325298
MA
363L00000X
Nurse Practitioner
Primary
RN2325298
MA
Other
Enumeration date
08/10/2022
Last updated
03/09/2023
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