Healthcare Provider Details

I. General information

NPI: 1194513739
Provider Name (Legal Business Name): ABIGAIL RYCHLIK MSN, RN, CPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABIGAIL MORSE

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5075 S FM 5
ALEDO TX
76008-4116
US

IV. Provider business mailing address

901 7TH AVE
FORT WORTH TX
76104-2722
US

V. Phone/Fax

Practice location:
  • Phone: 360-271-7183
  • Fax:
Mailing address:
  • Phone: 682-885-4171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number771760
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: