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

Sandra I Agazie, MSN, Aprn, Pmhnp-Bc, Cmsrn

Individual provider Medical-Surgical Registered Nurse · NPI 1093506701

Sandra I Agazie, MSN, Aprn, Pmhnp-Bc, Cmsrn is a Medical-Surgical Registered Nurse in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

115 Bradford Sq Ste B
Fayetteville, GA 30215-1962
Phone: (404) 736-4343
Fax: (844) 870-7142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN170538 (GA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence RN170538 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN170538 (GA)

Record details

NPI number1093506701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

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