Healthcare Provider Details

I. General information

NPI: 1821721044
Provider Name (Legal Business Name): ABBEY FERREE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 PARADISE DR
WEST BEND WI
53095-9795
US

IV. Provider business mailing address

1007 RIVER RESERVE DR
HARTLAND WI
53029-2910
US

V. Phone/Fax

Practice location:
  • Phone: 262-443-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number8433-23
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number8433-23
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number8433-23
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: