Individual
MS. FAWAZAT AGORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1075 SMITH ST, PROVIDENCE, RI 02908-2700
(401) 369-9224
Mailing address
45 HOWARD AVENUE, ROOSEVELT BENTON CENTER, CRANSTON, RI 02920-3001
(401) 462-4038
(401) 462-7334
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
07/11/2025
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