Provider Demographics
NPI:1134577232
Name:MONROE, REFAIN
Entity type:Individual
Prefix:
First Name:REFAIN
Middle Name:
Last Name:MONROE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7972 SHADY OAK TRL
Mailing Address - Street 2:APT 201
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-9436
Mailing Address - Country:US
Mailing Address - Phone:704-698-7642
Mailing Address - Fax:704-681-8235
Practice Address - Street 1:7972 SHADY OAK TRL
Practice Address - Street 2:APT 201
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-9436
Practice Address - Country:US
Practice Address - Phone:704-698-7642
Practice Address - Fax:704-681-8235
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-30
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC6015251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health