# SHAUNTEEL L CHALK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578275632
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 941010 | TX | — |
| 367A00000X | Advanced Practice Midwife | 1102085 | TX | Yes |

## Other

- **Enumeration date:** 12/21/2022
- **Last updated:** 03/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1102085 | TEXAS BOARD OF NURSING | TX |
| 01 | — | 941010 | TEXAS BOARD OF NURSING | TX |