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

Nina E Pegram, PNP

Individual provider Lactation Consultant (Non-RN) · NPI 1548527344

Nina E Pegram, PNP is a Lactation Consultant (Non-RN) in Ithaca, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

10 Graham Rd W
Ithaca, NY 14850-1055
Phone: (607) 257-2188
Fax: (607) 266-7341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 382280 (NY)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-56399

Record details

NPI number1548527344
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020
Mailing address10 Graham Rd W, Ithaca, NY 14850-1055

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