MEDICARE: EXTELLE HAIR STUDIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1598611642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXTELLE HAIR STUDIO

Provider Business Mailing Address
First Line	:	1916 SKIBO RD STE 101
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-1526
Country	:	US
Telephone Number	:	571-344-2177
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 SKIBO RD STE 101
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-1526
Country	:	US
Telephone Number	:	571-344-2177
Fax Number	:

Authorized Official
Title or Position	:	OWNER / TRICOLOGIST
Name	:	ESTELLE A WALKER
Credential	:
Telephone Number	:	571-344-2177

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

Similar Medicare Providers

1811843964 — ESTELLE A WALKER
Practice Location Address:

1916 SKIBO RD STE 101
FAYETTEVILLE, NC
28314-1526

Practice Phone: 571-344-2177
Practice Fax:

1447106752 — DANA TABB
Practice Location Address:

6885 CLIFFDALE RD STE 202
FAYETTEVILLE, NC
28314-2834

Practice Phone: 910-339-0400
Practice Fax: 910-339-0396

1033066055 — NOAH DUSTIN STAMP
Practice Location Address:

5135 MORGANTON RD STE 101
FAYETTEVILLE, NC
28314-1525

Practice Phone: 910-551-1670
Practice Fax:

1003763764 — ANGELA E HENDERSON BS, CPSS
Practice Location Address:

6591 BROOKSHIRE ST
FAYETTEVILLE, NC
28314-5115

Practice Phone: 910-490-8309
Practice Fax:

1821545005 — WENDY T BARTLEY PT
Practice Location Address:

4140 FERNCREEK DR , SUITE 801
FAYETTEVILLE, NC
28314-2563

Practice Phone: 910-484-2171
Practice Fax:

1972023497 — DR. MARYSELLE WINTERS DO
Practice Location Address:

4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC
28314-2569

Practice Phone: 910-485-3880
Practice Fax: 910-485-5341

Directions to “EXTELLE HAIR STUDIO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.