| Organization Name: | ASPEN ORTHOPAEDIC |
| NPI Number: | 1699173328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELEANOR VON STADE (ORTHOPAEDIC) |
| Mailing Address: | 1450 East Valley Road Suite 201 Basalt |
| State: | CO US |
| Postal Code: | 81621 |
| Phone Number: | 9709271757 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2014 |
| NPI Last Update Date: | 12/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN.0991476-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |