Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tairae Deshaun Monroe, CRANIALPROSTHESIS

Individual provider Specialist · NPI 1962384065

Tairae Deshaun Monroe, CRANIALPROSTHESIS is a Specialist in Fayetteville, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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Practice location Address checks out

6017 Lakeway Dr
Fayetteville, NC 28306-9754
Phone: (757) 940-9878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Specialist Taxonomy 174400000X
Prosthetics Case Management Taxonomy 1744P3200X

Record details

NPI number1962384065
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRANIALPROSTHESIS
Sole proprietorYes
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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