This style of multi-strand necklace represents a traditional form of Native American jewelry that gained prominence in the mid-20th century, particularly among Navajo and Pueblo artisans in the American Southwest. The combination of natural turquoise nuggets with coral fetish carvings reflects the deep cultural significance these materials held in Native American traditions, where turquoise symbolized protection and healing, while coral represented life force and vitality. Such necklaces were crafted using traditional techniques of hand-stringing natural stones and hand-carved fetishes, often featuring animal forms that held spiritual meaning.

These multi-strand turquoise and coral necklaces are highly prized by collectors of Native American jewelry, Southwest art enthusiasts, and those who appreciate authentic indigenous craftsmanship. The appeal lies in the natural beauty of the materials, the skilled handwork evident in the carving and assembly, and the cultural heritage each piece represents. Collectors value these necklaces for their artistic merit, historical significance, and connection to Native American artistic traditions that continue to influence contemporary jewelry design.