Provider Demographics
NPI:1063200038
Name:DUFFY, TAYLOR OLIVIA (APRN)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:OLIVIA
Last Name:DUFFY
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:OLIVIA
Other - Last Name:POLLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4 CELTIC CT
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-5777
Mailing Address - Country:US
Mailing Address - Phone:860-849-2510
Mailing Address - Fax:
Practice Address - Street 1:4 CELTIC CT
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-5777
Practice Address - Country:US
Practice Address - Phone:860-849-2510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program