Copper State Healthcare PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COPPER STATE HEALTHCARE PLLC

Practice address

42068 N Rattlesnake Rd
San Tan Valley, AZ 85140-8858

Phone

(480) 326-4997

Fax

(602) 848-8890

NPI assigned

May 2, 2024

Last updated

Aug 1, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Ekren, FNP-CNPI 1417415183

Title

Owner

Phone

(480) 326-4997

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Ekren, FNP-C

  • Family Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1417415183
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1922855519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42068 N RATTLESNAKE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408858",
            "telephone_number": "480-326-4997",
            "fax_number": "602-848-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42068 N RATTLESNAKE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408858",
            "telephone_number": "480-326-4997",
            "fax_number": "602-848-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER STATE HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "EKREN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-326-4997",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Darryl Conner
• Lori Cook, RN
• Matthew Cook, DO
• Raija Patricia Cook
• Lavince Cooper, LMT. CMMP.
• Mario Eleno De Castro Cordero III, FNP-C
• Joanne Corrigan, RN
• William Wright Cotten, M.A.
• Molly Cox, AAS SLPA
• Duane R. Crist, M.D.

• General Practice Physician in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.