Provider Demographics
NPI:1982429213
Name:BARR, ASHLEY (CHA I)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:CHA I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:KOTZEBUE
Mailing Address - State:AK
Mailing Address - Zip Code:99752-0043
Mailing Address - Country:US
Mailing Address - Phone:907-442-7161
Mailing Address - Fax:
Practice Address - Street 1:P.O. BOX 23
Practice Address - Street 2:
Practice Address - City:DEERING
Practice Address - State:AK
Practice Address - Zip Code:99736-0023
Practice Address - Country:US
Practice Address - Phone:907-363-2137
Practice Address - Fax:907-363-2177
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker