Healthcare Provider Details

I. General information

NPI: 1215754999
Provider Name (Legal Business Name): MEGAN BLANCHE DELL'ANNO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN BLANCHE YATTAW

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 RIVER RD STE 303B
SCHENECTADY NY
12309-1136
US

IV. Provider business mailing address

6 WELLNESS WAY STE 201
LATHAM NY
12110-2156
US

V. Phone/Fax

Practice location:
  • Phone: 518-381-1800
  • Fax: 518-381-1801
Mailing address:
  • Phone: 518-782-3700
  • Fax: 518-782-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF356508
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: