Healthcare Provider Details

I. General information

NPI: 1710804703
Provider Name (Legal Business Name): ABQ QUALITY LEGAL NURSE CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9605 THUNDER RD NW
ALBUQUERQUE NM
87120-4234
US

IV. Provider business mailing address

9605 THUNDER RD NW
ALBUQUERQUE NM
87120-4234
US

V. Phone/Fax

Practice location:
  • Phone: 505-402-1332
  • Fax:
Mailing address:
  • Phone: 505-402-1332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE COOPER
Title or Position: RN
Credential: RN
Phone: 505-402-1332