Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Altaira Anne Laverda, CRNP

Individual provider Family Nurse Practitioner · NPI 1003641671

Altaira Anne Laverda, CRNP is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

306 E Lancaster Ave Ste 200
Wynnewood, PA 19096-2100
Phone: (484) 565-1293
Fax: (484) 476-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP030548 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP030548 (PA)

Record details

NPI number1003641671
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedSeptember 4, 2024
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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