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BLOSSOM MANDY FELICIEN MA
NPI 1740925601
Emergency Medical Technician, Basic in West Allis, WI

Active since May 04, 2022
2323 S 109TH ST STE 130B, WEST ALLIS, WI 53227(414) 334-5224 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blossom Mandy Felicien Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM MANDY FELICIEN MA (NPI 1740925601) is an individual emergency medical technician, basic provider in West Allis, Wisconsin, licensed in Wisconsin (2900134) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1740925601
Entity TypeIndividualFemale
Primary Taxonomy146N00000X
Provider Legal NameBLOSSOM MANDY FELICIENCredential: MA
Location Address2323 S 109TH ST STE 130BWest Allis, WI 53227-1909
Mailing Address2323 S 109th St Ste 130bWest Allis, WI 53227-1909 · (414) 334-5224
Phone(414) 334-5224
Sole ProprietorNo
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1740925601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in WI · 2900134
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
2323 S 109TH ST STE 130B, West Allis, WI 53227
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Felicien's NPI number?

The NPI number for Blossom Felicien is 1740925601. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Blossom Felicien located?

Blossom Felicien practices at 2323 S 109th St Ste 130B, West Allis, WI 53227. The listed phone number is (414) 334-5224.

What is Blossom Felicien's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Blossom Felicien was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.