Healthcare Provider Details

I. General information

NPI: 1700793122
Provider Name (Legal Business Name): MOTHERWELL POSTPARTUM HOMECARE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

968 CHAMBERS ST STE 5
SOUTH OGDEN UT
84403-5082
US

IV. Provider business mailing address

968 CHAMBERS ST STE 5
SOUTH OGDEN UT
84403-5082
US

V. Phone/Fax

Practice location:
  • Phone: 801-605-3801
  • Fax:
Mailing address:
  • Phone: 801-605-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KENZLEE WOODEN
Title or Position: OWNER
Credential: AGNP
Phone: 801-605-3801