Healthcare Provider Details

I. General information

NPI: 1285576801
Provider Name (Legal Business Name): OUR WAY WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5622 W PALMAIRE AVE
GLENDALE AZ
85301-2510
US

IV. Provider business mailing address

PO BOX 73494
PHOENIX AZ
85050-1042
US

V. Phone/Fax

Practice location:
  • Phone: 480-648-4161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: KIM FLANDERS
Title or Position: OWNER, CNM
Credential: DNP, CNM
Phone: 480-648-4161