Individual provider · NPI-1

Abigail Maguad Baluyot, AGPCNP-BC

Nurse Practitioner, Gerontology · Southgate, MI

NPI number1437916210

StatusActive

Last updated in NPPESSep 17, 2026

Details

NPI: 1437916210
Entity type: Individual (NPI-1)
Name: Abigail Maguad Baluyot
Credential: AGPCNP-BC
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 28, 2024
Certification date: Sep 17, 2026
Last updated: Sep 17, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LG0600X	Nurse Practitioner, Gerontology	4704282146	MI	Yes

Practice location

11275 Allen Rd
Southgate, MI 48195-3380

Phone 313-383-7071

Mailing address

8213 Hunters Ridge Dr
Newport, MI 48166-7837

Phone 734-394-6267

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