SearchMaine363LG0600X

Shayna Diedrich-Pugh, ACNP

NPI 1700650777 · on the registry since 2023

Practice

Address
930 Congress St
Portland, ME 04102
Phone
(207) 662-1535
Fax
(207) 761-3021
Clinicians at this address
3

Additional practice sites

  • 55 Lake Ave N, Worcester, MA
  • 119 Belmont St, Worcester, MA

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Also registered as
363LA2100X
363L00000X
Licence states on file
ME, MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine