Provider Demographics
NPI:1558901397
Name:HE RINICKER, ASHLEY SHUZHU (PMHNP-BC, APRN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SHUZHU
Last Name:HE RINICKER
Suffix:
Gender:F
Credentials:PMHNP-BC, APRN
Other - Prefix:
Other - First Name:SHUZHU
Other - Middle Name:HE
Other - Last Name:RINICKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 WILDLIFE TRAILS PKWY
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-6619
Mailing Address - Country:US
Mailing Address - Phone:806-445-2419
Mailing Address - Fax:
Practice Address - Street 1:1 VILLAGE DR STE 350
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8231
Practice Address - Country:US
Practice Address - Phone:325-733-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144138363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty