Provider Demographics
NPI:1851605778
Name:RICKEL, ABBY M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:M
Last Name:RICKEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8639 MAYLAND DR STE 105
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4752
Mailing Address - Country:US
Mailing Address - Phone:804-740-7105
Mailing Address - Fax:804-658-1644
Practice Address - Street 1:8639 MAYLAND DR STE 105
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4752
Practice Address - Country:US
Practice Address - Phone:804-740-7105
Practice Address - Fax:804-658-1644
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168582363LF0000X
VA0017139753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily