Individual provider · Type 1 NPI

Nina E. Pegram, PNP

Pediatric Nurse Practitioner · Ithaca, NY

NPI number 1548527344 Active

Practice location

10 Graham Rd W
Ithaca, NY 14850-1055

Fax (607) 266-7341

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Non-RN) 174N00000XL-56399
Pediatric Nurse Practitioner Primary 363LP0200X382280 (NY)

Pediatric Nurse Practitioner: Definition to come...

28 other providers at this address

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About NPI 1548527344

Nina E. Pegram, PNP's National Provider Identifier is 1548527344, issued on Apr 18, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Ithaca, NY. The record was last updated on May 6, 2020.