Provider Demographics
NPI:1346550787
Name:CRAFT, MELISSA (CNS)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:CRAFT
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 KELLEY POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-2995
Mailing Address - Country:US
Mailing Address - Phone:405-844-2601
Mailing Address - Fax:405-844-2610
Practice Address - Street 1:2601 KELLEY POINTE PKWY
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2995
Practice Address - Country:US
Practice Address - Phone:405-844-2601
Practice Address - Fax:405-844-2610
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK37076163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse