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COPPER STATE HEALTHCARE PLLC
NPI 1922855519
General Practice in San Tan Valley, AZ

Active since May 02, 2024
42068 N RATTLESNAKE RD, SAN TAN VALLEY, AZ 85140(480) 326-4997(602) 848-8890 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copper State Healthcare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPER STATE HEALTHCARE PLLC (NPI 1922855519) is a healthcare organization registered as a general practice in San Tan Valley, Arizona and active in the NPI registry since May 2024. The organization lists Marie Ekren, Owner, as its authorized official.

NPPES Registry Identity

NPI1922855519
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOPPER STATE HEALTHCARE PLLC
Location Address42068 N RATTLESNAKE RDSan Tan Valley, AZ 85140-8858
Mailing Address42068 N Rattlesnake RdSan Tan Valley, AZ 85140-8858 · (480) 326-4997 · Fax (602) 848-8890
Phone(480) 326-4997
Fax(602) 848-8890
Organization SubpartNo
Authorized OfficialMarie EkrenOwner · (480) 326-4997
Enumeration DateMay 2, 2024
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1922855519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
42068 N RATTLESNAKE RD, San Tan Valley, AZ 85140
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Copper State Healthcare PLLC's NPI number?

The NPI number for Copper State Healthcare PLLC is 1922855519. It was assigned to this organization in the NPPES registry on May 2, 2024.

Where is Copper State Healthcare PLLC located?

Copper State Healthcare PLLC is located at 42068 N Rattlesnake Rd, San Tan Valley, AZ 85140. The listed phone number is (480) 326-4997.

What is Copper State Healthcare PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Copper State Healthcare PLLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.