Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Copper State Healthcare PLLC

Organization General Practice Physician · NPI 1922855519

Copper State Healthcare PLLC is a General Practice Physician in San Tan Valley, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42068 N Rattlesnake Rd
San Tan Valley, AZ 85140-8858
Phone: (480) 326-4997
Fax: (602) 848-8890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1922855519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Ekren — Owner · (480) 326-4997
NPI enumeratedMay 2, 2024
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address42068 N Rattlesnake Rd, San Tan Valley, AZ 85140-8858

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