Organization
THRIVE ASPEN LLC
Active
Parent organization
THRIVE ASPEN LLC
Other names
Aspen Thrive
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRIVE ASPEN LLC
Authorized official
LISA M WAGNER APRN FNP-C (OWNER)
(970) 618-8796
Entity
Organization
Contact information
Practice address
249 KODIAK DR UNIT 201, BASALT, CO 81621-8140
(970) 618-8796
(970) 645-3168
Mailing address
249 KODIAK DR UNIT 201, BASALT, CO 81621-8140
(970) 618-8796
(970) 645-3168
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346754249
NPPES
—
Enumeration date
05/17/2024
Last updated
11/14/2025
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