Nurse Practitioner, Gerontology
SHAYNA DIEDRICH-PUGH ACNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700650777 · enumerated 2023-11-10 · record updated 2026-03-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: SHAYNA DIEDRICH
Addresses and phones
- Mailing address 930 CONGRESS ST, PORTLAND, ME, 04102-3032 (207) 662-1535 Fax (207) 761-3021 Google Maps Apple Maps OpenStreetMap
- Practice location 930 CONGRESS ST, PORTLAND, ME, 04102-3032 (207) 662-1535 Fax (207) 761-3021 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License CNP251857 ME
- Nurse Practitioner, Acute Care 363LA2100X · License CNP251857 ME
- Nurse Practitioner 363L00000X · License RN2314195 MA
In this directory
ME Cumberland County Portland Nurse Practitioner, Gerontology
Locations and evidence
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Practice location
PORTLAND, ME, 041023032
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.