Mary C Polk, NP
Nurse Practitioner in Tiverton, Rhode Island
1487611646- Practice location
- 1698 Main RD, Tiverton, RI 02878
- Phone
- 508-472-1103
- Fax
- 800-506-1624
- Last updated
- May 28, 2021
Mary Catherine Polk is a Nurse Practitioner based in Tiverton, RI. Mary Catherine Polk practices in Tiverton, RI and has the professional credentials of NP. The NPI Number for Mary Catherine Polk is 1487611646 and holds a License No. S52455 (MA). The current practice location address for Mary Catherine Polk is 1698 Main RD, Tiverton, RI 02878 and can be reached out via phone at 508-472-1103 and via fax at 800-506-1624.
Provider Profile Details
- NPI Number
- 1487611646
- Provider Name
- Mary Catherine Polk
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1698 Main RD, Tiverton, RI 02878
- Phone Number
- 508-472-1103
- Fax Number
- 800-506-1624
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 28, 2006
- Last Update Date
- May 28, 2021
- Certification Date
- May 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1698 Main RD
Tiverton, RI 02878 - City
- Tiverton
- State
- Rhode Island
- Zip
- 02878
- Phone Number
- 508-472-1103
- Fax Number
- 800-506-1624
Provider Business Mailing Address Details
- Address
- 1698 Main RD
Tiverton, RI 02878-4518 - City
- Tiverton
- State
- RI
- Zip
- 02878-4518
- Phone Number
- 508-472-1103
License Information
- License Number
- S52455
- License State
- MA
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary C Polk, NP?
The NPI number of Mary C Polk, NP is 1487611646. It was assigned on April 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary C Polk, NP?
Mary C Polk, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number S52455.
Where does Mary C Polk, NP practice?
The practice location is 1698 Main RD, Tiverton, RI 02878. The office can be reached at 508-472-1103 (phone) or 800-506-1624 (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 1487611646 directly on the NPPES registry website.