Individual provider · Type 1 NPI
Christina Marie Polk
Psychiatric/Mental Health Nurse Practitioner · Madison, CT
NPI number
1457516502
Active
Practice location
32 Wall St Ste C
Madison, CT 06443-3100
Fax (203) 427-0441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 17648 (CT) |
| Social Worker | 104100000X | CSW0000007246 (TN) |
| Clinical Social Worker | 1041C0700X | 117385 (MA) |
| Clinical Social Worker | 1041C0700X | 6174 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1457516502
Christina Marie Polk's National Provider Identifier is 1457516502, issued on Jul 28, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Madison, CT. The record was last updated on Aug 17, 2026.