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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

QUEENTA BANACK, DO

Active

QUEENTA BANACK, DO is a Family Nurse Practitioner healthcare provider located in FULTON, Maryland. NPI 1235832692 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FULTON, MD

Registration Details

NPI Number
1235832692
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2023 (3.3648679571695 yrs)
Last Updated
Mar 24, 2023
License
0024186737 (VA)

Practice Information

Address
8115 MAPLE LAWN BLVD STE 109
FULTON, MD, 207592681
Browse MD providers · Browse ZIP 20759
Phone
3014048724
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in FULTON, MD

Name Credential NPI
MRS. MICHELLE LEBORYS HOCKSTRA NP 1528091329
ZENIA MCKOY CRNP 1164726469
SAMANTHA HENRY CRNP 1407259641
JUDITH GREENGOLD CRNP 1417327487
MS. ANDREA CAMPBELL-KAMARA FNP-C 1639699630
SAMETTA RHODA SANYAOLU FNP-BC 1730695503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.