Individual
MS. FAWAZAT MARIA AGORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1075 SMITH ST, PROVIDENCE, RI 02908-2700
(401) 369-9224
Mailing address
1075 SMITH ST STE 2, PROVIDENCE, RI 02908-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN03235
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04593
RI
Other
Enumeration date
08/30/2022
Last updated
06/11/2026
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