MEDICARE: MCKENNA COPPEDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	273380	AZ

General Provider Information

NPI Number	:	1730812157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKENNA COPPEDGE

Provider Business Mailing Address
First Line	:	45 CASTLE ROCK RD STE 2A
Second Line	:
City	:	SEDONA
State	:	AZ
Zip	:	86351-8806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 CASTLE ROCK RD STE 2A
Second Line	:
City	:	SEDONA
State	:	AZ
Zip	:	86351-8806
Country	:	US
Telephone Number	:	928-814-5269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2022
Last Update Date	:	07/04/2022

Similar Medicare Providers

1174870174 — DR. EMILY JANE BURGOON D.O.
Practice Location Address:

45 CASTLE ROCK RD 2A
SEDONA, AZ
86351-8806

Practice Phone: 540-798-5655
Practice Fax:

1134545833 — MICHAEL DIMARCO II D.C.
Practice Location Address:

45 CASTLE ROCK RD STE 3
SEDONA, AZ
86351-8806

Practice Phone: 928-254-7099
Practice Fax:

1780395848 — WHITE BUFFALO CHIROPRACTIC LLC
Practice Location Address:

45 CASTLE ROCK RD STE 3
SEDONA, AZ
86351-8806

Practice Phone: 928-254-7099
Practice Fax:

1447097621 — KENNETH ANDRII ERVIN-BECKFORD
Practice Location Address:

45 CASTLE ROCK RD STE 2A
SEDONA, AZ
86351-8806

Practice Phone: 928-592-3506
Practice Fax:

1437139474 — MARIAN SUE DIAMOND FNP
Practice Location Address:

61 BELL ROCK PLZ
SEDONA, AZ
86351-8810

Practice Phone: 928-204-4999
Practice Fax: 928-204-4990

1972573533 — DR. JOHN T ROONEY DO
Practice Location Address:

61 BELL ROCK PLZ
SEDONA, AZ
86351-8810

Practice Phone: 928-204-4999
Practice Fax: 928-204-4990

Directions to “ MCKENNA COPPEDGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.