IndividualActive
Abigail Clark, NP
NPI 1104554096 · Nurse Practitioner · Boston, MA
Provider details
- NPI number
- 1104554096
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN2325298 (MA)
Practice location
330 Brookline Ave
E/Shapiro 6
Boston, MA 02215
Phone: (617) 754-9600
Fax: (617) 667-8665
Mailing address
11 Beecher Ter Unit 2
Newton, MA 02459-2345
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.