Healthcare Provider Details

I. General information

NPI: 1508778986
Provider Name (Legal Business Name): CHELSEA BEHFOROUZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 W WHITE RIVER BLVD
MUNCIE IN
47303-5263
US

IV. Provider business mailing address

PO BOX 1676
MUNCIE IN
47308-1676
US

V. Phone/Fax

Practice location:
  • Phone: 765-286-7000
  • Fax: 765-213-7060
Mailing address:
  • Phone: 765-286-7000
  • Fax: 765-287-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018688A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: