Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queenta Banack, DO

Individual provider Family Nurse Practitioner · NPI 1235832692

Queenta Banack, DO is a Family Nurse Practitioner in Fulton, Maryland. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

8115 Maple Lawn Blvd Ste 109
Fulton, MD 20759-2681
Phone: (301) 404-8724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024186737 (VA)

Record details

NPI number1235832692
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address8115 Maple Lawn Blvd Ste 109, Fulton, MD 20759-2681

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