Healthcare Provider Details

I. General information

NPI: 1841990611
Provider Name (Legal Business Name): Q HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 OSUNA RD NE STE 5
ALBUQUERQUE NM
87113-1392
US

IV. Provider business mailing address

6405 LOS CANTOS AVE NW
ALBUQUERQUE NM
87114-6329
US

V. Phone/Fax

Practice location:
  • Phone: 505-456-2392
  • Fax:
Mailing address:
  • Phone: 505-412-5247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY QUINTANA
Title or Position: OWNER / PROVIDER
Credential: FNP-C
Phone: 505-412-5247