Healthcare Provider Details

I. General information

NPI: 1467315408
Provider Name (Legal Business Name): AMBER STURCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W 12TH ST
PERU IN
46970-1655
US

IV. Provider business mailing address

1068 CHERRY LN
PERU IN
46970-3006
US

V. Phone/Fax

Practice location:
  • Phone: 765-472-8000
  • Fax: 765-472-0006
Mailing address:
  • Phone: 765-244-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28268484C
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: