Provider Demographics
NPI:1346550787
Name:CRAFT, MELISSA (CNS)
Entity type:Individual
Prefix:DR
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 1:1100 N STONEWALL AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1200
Mailing Address - Country:US
Mailing Address - Phone:405-271-4927
Mailing Address - Fax:
Practice Address - Street 1:800 NE 10TH ST STE 2300
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
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:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0037076364SX0200X
OK37076163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No163W00000XNursing Service ProvidersRegistered Nurse