Organization
COPPER STATE HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE EKREN FNP-C (OWNER)
(480) 326-4997
Entity
Organization
Contact information
Practice address
42068 N RATTLESNAKE RD, SAN TAN VALLEY, AZ 85140-8858
(480) 326-4997
(602) 848-8890
Mailing address
42068 N RATTLESNAKE RD, SAN TAN VALLEY, AZ 85140-8858
(480) 326-4997
(602) 848-8890
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/02/2024
Last updated
08/01/2025
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