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NPI Code Detail

MEDICARE: OUR WAY WELLNESS LLC

MEDICARE: OUR WAY WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1285576801
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR WAY WELLNESS LLC
Provider Business Mailing Address
First Line : PO BOX 73494
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-1042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5622 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2510
Country : US
Telephone Number : 480-648-4161
Fax Number :
Authorized Official
Title or Position : OWNER, CNM
Name : KIM FLANDERS
Credential : DNP, CNM
Telephone Number : 480-648-4161
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “OUR WAY WELLNESS LLC ” Practice Location

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