Healthcare Provider Details

I. General information

NPI: 1083591291
Provider Name (Legal Business Name): HALEY DUFFY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/27/2026
Certification Date: 08/19/2025
Deactivation Date: 09/03/2025
Reactivation Date: 08/27/2026

III. Provider practice location address

804 MOOREFIELD PARK DR STE 302
NORTH CHESTERFIELD VA
23236-3670
US

IV. Provider business mailing address

804 MOOREFIELD PARK DR STE 302
NORTH CHESTERFIELD VA
23236-3670
US

V. Phone/Fax

Practice location:
  • Phone: 804-977-2634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099.0134269
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: