Provider Demographics
NPI:1346435401
Name:WAMPLER, DARCELLE PADILLA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DARCELLE
Middle Name:PADILLA
Last Name:WAMPLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3652
Mailing Address - Country:US
Mailing Address - Phone:717-812-8234
Mailing Address - Fax:
Practice Address - Street 1:1936 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4725
Practice Address - Country:US
Practice Address - Phone:717-741-0811
Practice Address - Fax:717-741-0811
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003508B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily