Individual provider · Type 1 NPI

Fawazat Maria Agoro, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Providence, RI

NPI number 1134849334 Active

Practice location

1075 Smith St
Providence, RI 02908-2700

Mailing address

1075 Smith St Ste 2
Providence, RI 02908-2700

Other practice locations

  • 1300 Division Rd Ste 301, West Warwick, RI 02893-7558 · (401) 369-9224

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN03235 (RI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN04593 (RI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1134849334

Fawazat Maria Agoro, PMHNP's National Provider Identifier is 1134849334, issued on Aug 30, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Providence, RI. The record was last updated on Sep 11, 2026.