Individual
ABBY PHILLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 LAKE ST, PEWAUKEE, WI 53072-3630
(262) 701-5479
Mailing address
436 LAKE ST, PEWAUKEE, WI 53072-3630
(262) 691-2100
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
190898-30
WI
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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