- Practice location
- 930 Congress St, Portland, ME 04102-3032
- Phone
- 207-662-1535
- Fax
- 207-761-3021
- Last updated
- March 2, 2026
Shayna Christine Diedrich-Pugh is a Nurse Practitioner, Gerontology based in Portland, ME. Shayna Christine Diedrich-Pugh practices in Portland, ME and has the professional credentials of ACNP. The NPI Number for Shayna Christine Diedrich-Pugh is 1700650777 and holds a License No. CNP251857 (ME). The current practice location address for Shayna Christine Diedrich-Pugh is 930 Congress St, Portland, ME 04102-3032 and can be reached out via phone at 207-662-1535 and via fax at 207-761-3021.
Provider Profile Details
- NPI Number
- 1700650777
- Provider Name
- Shayna Christine Diedrich-Pugh
- Credential
- ACNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 930 Congress St, Portland, ME 04102-3032
- Phone Number
- 207-662-1535
- Fax Number
- 207-761-3021
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Other Names
- Shayna Diedrich, NP (Former Name)
- Provider Enumeration Date
- November 10, 2023
- Last Update Date
- March 2, 2026
- Certification Date
- March 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 930 Congress St
Portland, ME 04102-3032 - City
- Portland
- State
- Maine
- Zip
- 04102-3032
- Phone Number
- 207-662-1535
- Fax Number
- 207-761-3021
Provider Business Mailing Address Details
- Address
- 930 Congress St
Portland, ME 04102-3032 - City
- Portland
- State
- ME
- Zip
- 04102-3032
- Phone Number
- 207-662-1535
- Fax Number
- 207-761-3021
License Information
- License Number (1)
- CNP251857
- License State (1)
- ME
- Taxonomy (1)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
- License Number (2)
- CNP251857
- License State (2)
- ME
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (3)
- RN2314195
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner · 363L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Portland, ME
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- William J Laffan, LCPCCounselor, Professional · NPI 1790551414
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Frequently Asked Questions
What is the NPI number of Shayna C Diedrich-Pugh, ACNP?
The NPI number of Shayna C Diedrich-Pugh, ACNP is 1700650777. It was assigned on November 10, 2023 and is currently active in the NPPES registry.
What is the specialty of Shayna C Diedrich-Pugh, ACNP?
Shayna C Diedrich-Pugh, ACNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in ME under license number CNP251857.
Where does Shayna C Diedrich-Pugh, ACNP practice?
The practice location is 930 Congress St, Portland, ME 04102-3032. The office can be reached at 207-662-1535 (phone) or 207-761-3021 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700650777 directly on the NPPES registry website.