Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Fawazat Maria Agoro, PMHNP

Individual provider Family Nurse Practitioner · NPI 1134849334

MS. Fawazat Maria Agoro, PMHNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1075 Smith St
Providence, RI 02908-2700
Phone: (401) 369-9224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1598 S County Trl Ste 102, East Greenwich, RI 02818-1762 — (401) 369-9224

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN04593 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN03235 (RI)

Record details

NPI number1134849334
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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