| Doctor Name: | MRS. DEBRA CHALK |
| NPI Number: | 1659776052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, IBCLC, CPD |
| License Number: | 018316-21 |
| Business Practice Address: | 3 Everett Ave Bow, NH - 033043400 |
| Business Phone Number: | 6033407028 |
| Business Fax Number: | 6032243077 |
| Mailing Address: | 3 Everett Ave, BOW |
| State: | NH |
| Postal Code: | 033043400 |
| Phone Number: | 6033407028 |
| Fax Number: | 6032243077 |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 11/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 018316-21 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |