Provider Demographics
NPI:1144198664
Name:CRANE, MELISSA (CD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 HOG MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-4422
Mailing Address - Country:US
Mailing Address - Phone:770-356-8818
Mailing Address - Fax:
Practice Address - Street 1:1509 HOG MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-4422
Practice Address - Country:US
Practice Address - Phone:770-356-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332509374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula