Individual
ALTAIRA ANNE LAVERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
306 E LANCASTER AVE STE 200, WYNNEWOOD, PA 19096-2100
(484) 565-1293
(484) 476-7855
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP030548
PA
363LF0000X
Family Nurse Practitioner
SP030548
PA
Other
Enumeration date
09/04/2024
Last updated
02/18/2025
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