COPPER STATE HEALTHCARE PLLC NPI 1922855519

NPI Information

NPI: 1922855519
Provider Name: COPPER STATE HEALTHCARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
42068 N RATTLESNAKE RD
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 326-4997
Get Directions

COPPER STATE HEALTHCARE PLLC is a family nurse practitioner in San Tan Valley, AZ. COPPER STATE HEALTHCARE PLLC NPI is 1922855519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42068 N RATTLESNAKE RD
SAN TAN VALLEY, AZ
ZIP 85140-858
Phone: (480) 326-4997
Fax: (602) 848-8890

The provider's authorized official is Marie Ekren .
The authorized official title is Owner and has the following contact phone number (480) 326-4997.

The enumeration date for this NPI number is 5/2/2024 and was last updated on 5/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner				No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »