Provider Demographics
NPI:1215754999
Name:DELL'ANNO, MEGAN BLANCHE (FNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:BLANCHE
Last Name:DELL'ANNO
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:BLANCHE
Other - Last Name:YATTAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD STE 303B
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1136
Practice Address - Country:US
Practice Address - Phone:518-381-1800
Practice Address - Fax:518-381-1801
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NYF356508363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program