Individual provider · NPI-1
Qiana Lachelle Hailey
Orthotic Fitter · Charlotte, NC
NPI number1821964115
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1821964115
- Entity type
- Individual (NPI-1)
- Name
- Qiana Lachelle Hailey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | NC | Yes |
Practice location
5023 Malibu DrCharlotte, NC 28215-1539
Phone 980-349-3823
Mailing address
5023 Malibu DrCharlotte, NC 28215-1539
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