Healthcare Provider Details

I. General information

NPI: 1487275442
Provider Name (Legal Business Name): ERIN ALEEN OSTLIE-MADDEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN ALEEN MADDEN

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 5050
DENVER CO
80218-1200
US

IV. Provider business mailing address

1601 E 19TH AVE STE 5050
DENVER CO
80218-1200
US

V. Phone/Fax

Practice location:
  • Phone: 720-754-2155
  • Fax: 720-754-2106
Mailing address:
  • Phone: 720-754-2155
  • Fax: 720-754-2106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006995
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: