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

Batoul Bayram, AGPCNP

Individual provider Nurse Practitioner · NPI 1053290395

Batoul Bayram, AGPCNP is a Nurse Practitioner in Dearborn Heights, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025

Practice location Address checks out

21018 Fairview Dr
Dearborn Heights, MI 48127-2645
Phone: (313) 415-5595
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704323649NSA250PK (MI)

Record details

NPI number1053290395
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedAugust 30, 2025
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Dearborn Heights