Healthcare Provider Details

I. General information

NPI: 1528785706
Provider Name (Legal Business Name): MELISSA WAMPLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 PLUMAS CT STE C&D
YUBA CITY CA
95991-2971
US

IV. Provider business mailing address

1525 PLUMAS CT STE C&D
YUBA CITY CA
95991-2971
US

V. Phone/Fax

Practice location:
  • Phone: 530-418-1002
  • Fax:
Mailing address:
  • Phone: 530-418-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: