Individual
MELANIE J CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
95 MAHALANI STREET RM 28-4, WAILUKU, HI 96793-9217
(808) 867-0623
Mailing address
PO BOX 1639, KIHEI, HI 96753-1639
(808) 868-8968
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
75952
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26831
RN LICENSE
MT
01
—
32305624
CERTIFICATION BOARD FOR DIABETES CARE AND EDUCATION
—
01
—
75952
RN LICENSE
HI
Enumeration date
06/20/2012
Last updated
02/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us