Healthcare Provider Details

I. General information

NPI: 1245651322
Provider Name (Legal Business Name): STEPHANIE DELANDE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 MAIN ST
HYANNIS MA
02601-3146
US

IV. Provider business mailing address

94 MAIN ST
HYANNIS MA
02601-3146
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 508-771-7517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number260158
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: