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Nina E Pegram, PNP
Pediatric Nurse Practitioner in Ithaca, New York
NPI 1548527344

Nina E Pegram is a Pediatric Nurse Practitioner based in Ithaca, NY and is specialized in Pediatrics. Nina E Pegram practices in Ithaca, NY and has the professional credentials of PNP. The NPI Number for Nina E Pegram is 1548527344 and holds a License No. L-56399 (New York).

The current practice location address for Nina E Pegram is 10 Graham Rd W, Ithaca, NY and can be reached out via phone at 607-257-2188 and via fax at 607-266-7341.

Location: 10 Graham Rd W, Ithaca, NY, 14850-1055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548527344
Provider Name
Nina E Pegram
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
10 Graham Rd W, Ithaca, NY, 14850-1055
Phone Number
607-257-2188
Fax Number
607-266-7341
Provider Enumeration Date
04/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Graham Rd W
City
Ithaca
State
New York
Zip
14850-1055
Phone Number
607-257-2188
Fax Number
607-266-7341
person
Provider Business Mailing Address Details
Address
10 Graham Rd W
City
Ithaca
State
New York
Zip
14850-1055
Phone Number
607-257-2188
Fax Number
607-266-7341
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
382280 (New York)
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
L-56399 ()
Definition
Definition to come...
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