Individual
CHLOE POLOUKHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
45 NEW PLACE ST, WALLINGFORD, CT 06492-2236
(203) 443-6063
Mailing address
45 NEW PLACE ST APT 2, WALLINGFORD, CT 06492-2236
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16721
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
02/25/2026
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