Provider Demographics
NPI:1528578846
Name:CLINKSCALES, ABIGAIL WARD (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:WARD
Last Name:CLINKSCALES
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:GRACE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20400 LAKE CHABOT RD STE 304
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5316
Mailing Address - Country:US
Mailing Address - Phone:510-537-0700
Mailing Address - Fax:
Practice Address - Street 1:20400 LAKE CHABOT RD STE 304
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5316
Practice Address - Country:US
Practice Address - Phone:510-537-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily