Healthcare Provider Details

I. General information

NPI: 1780539841
Provider Name (Legal Business Name): CHELSEA BELVILLE APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3547 QUAST LN RM P100
TOLEDO OH
43623-1800
US

IV. Provider business mailing address

329 N WEST ST
LIMA OH
45801-4332
US

V. Phone/Fax

Practice location:
  • Phone: 419-222-3471
  • Fax: 419-225-8878
Mailing address:
  • Phone: 419-221-3072
  • Fax: 419-225-8878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041625
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: