Individual provider · Type 1 NPI

Lacey Appachu, NP

Nurse Practitioner · Mesa, AZ

NPI number 1124850649 Active

Practice location

1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753

Mailing address

1400 S Dobson Rd
Mesa, AZ 85202-4707

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X235223 (AZ)
Registered Nurse 163W00000X235223 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124850649

Lacey Appachu, NP's National Provider Identifier is 1124850649, issued on Aug 14, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 12, 2025.