Christina Marie Polk, - Nurse Practitioner in Madison, CT

Christina Marie Polk, is a Nurse Practitioner - Psychiatric/mental Health based in Madison, Connecticut. Christina Marie Polk is licensed to practice in Connecticut (license number 17648) and her current practice location is 32 Wall St Ste C, Madison, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 245-0412.

NPI number for Christina Marie Polk is 1457516502 and her current mailing address is 32 Wall St Ste C, Madison, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457516502.

Contact Information

Christina Marie Polk,
32 Wall St Ste C,
Madison, CT 06443-3100
(203) 245-0412
(203) 427-0441

Map and Direction




Provider's Profile

Full NameChristina Marie Polk
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location32 Wall St Ste C, Madison, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457516502
  • Provider Enumeration Date: 07/28/2008
  • Last Update Date: 08/17/2026

Medical Identifiers

Medical identifiers for Christina Marie Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457516502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 17648 (Connecticut)Primary
104100000XSocial Worker CSW0000007246 (Tennessee)Secondary
1041C0700XSocial Worker - Clinical 117385 (Massachusetts)Secondary
1041C0700XSocial Worker - Clinical 6174 (Tennessee)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Marie Polk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christina Marie Polk,
32 Wall St Ste C,
Madison, CT 06443-3100

Ph: (203) 245-0412
Christina Marie Polk,
32 Wall St Ste C,
Madison, CT 06443-3100

Ph: (203) 245-0412

Reviews and Comments


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