Lookup NPI Numbers from the NPI Registry
NPI Profile for QUEENTA BANACK in FULTON, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1235832692 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 03/24/2023 | |
| Last updated | 03/24/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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QUEENTA BANACK
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QUEENTA BANACK, DO