Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA I AGAZIE, MSN, APRN, PMHNP-BC, CMSRN
Active Sole ProprietorSANDRA I AGAZIE, MSN, APRN, PMHNP-BC, CMSRN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAYETTEVILLE, Georgia. NPI 1093506701 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1093506701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2025 (1.2558663771915 yrs)
- Last Updated
- Oct 10, 2025
- Licenses
-
RN170538 (GA)RN170538 (GA)RN170538 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 BRADFORD SQ STE BFAYETTEVILLE, GA, 302151962Browse GA providers · Browse ZIP 30215
- Phone
- 4047364343
- Fax
- 8448707142
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Registered Nurse
Other Psychiatric/Mental Health Nurse Practitioner Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| OMOLOLA OTUBAGA | NP | 1033595566 |
| CARLA ANN ALEXANDER | PMHNP-BC | 1770070120 |
| MRS. STACEY LASANDRA MITCHELL | NP | 1245794387 |
| DR. SUZANNE RENEE TAMBASCO | NP | 1417500786 |
| MRS. CHARITY NIKOLE ROSEBERRY | PMHNP-BC | 1710530134 |
| MR. ANTHONY JAMES HALL | APRN | 1558904169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.