Most Relevant Information
Provider Data
| NPI Number: | 1003641671 |
| Provider Name: | ALTAIRA ANNE LAVERDA CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP030548 |
Most Important Dates
| Enumeration Date: | 09/04/2024 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
306 E LANCASTER AVE STE 200
WYNNEWOOD
PA
190962100
Practice Location Phone/Fax
| Phone: | 4845651293 |
| Fax: | 4844767855 |
Provider Mailing Location
1168 BLENHEIM RD
WEST CHESTER
PA
193827274
Provider Mailing Phone/Fax
| Phone: | 6104055816 |
| Fax: |