Healthcare Provider Details

I. General information

NPI: 1760522841
Provider Name (Legal Business Name): ASHLEY C BARTA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY C MALICK A.R.N.P

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E CARTHAGE ST
MEADE KS
67864-6401
US

IV. Provider business mailing address

PO BOX 820
MEADE KS
67864-0820
US

V. Phone/Fax

Practice location:
  • Phone: 620-873-2141
  • Fax: 620-873-2576
Mailing address:
  • Phone: 620-873-2141
  • Fax: 620-873-2576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number45222
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number45222
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: