Healthcare Provider Details

I. General information

NPI: 1992591747
Provider Name (Legal Business Name): AMBER CREWS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 STATE ST
WASHINGTON IN
47501-8505
US

IV. Provider business mailing address

521 SW 11TH ST
WASHINGTON IN
47501-3305
US

V. Phone/Fax

Practice location:
  • Phone: 812-254-1558
  • Fax: 812-254-8308
Mailing address:
  • Phone: 812-698-0703
  • Fax: 812-494-9502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71016550A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: