Individual provider · Type 1 NPI

Ed Fortune Aguilos Mangio, AGNP-BC

Nurse Practitioner · Worcester, MA

NPI number 1659700599 Active

Practice location

119 Belmont St
Worcester, MA 01605-2903

Call (508) 334-8515 Map

Fax (508) 334-6490

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice locations

  • 100 South St, Southbridge, MA 01550-4051 · (508) 909-7733
  • 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 334-8515
  • 235 North Pearl St, Brockton, MA 02301 · (508) 427-3000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2304159 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659700599

Ed Fortune Aguilos Mangio, AGNP-BC's National Provider Identifier is 1659700599, issued on Nov 1, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Mar 13, 2025.