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

Breanna Hackworth, CCP

Individual provider Perfusionist · NPI 1689201402

Breanna Hackworth, CCP is a Perfusionist in Plymouth, Michigan. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

45211 Helm St
Plymouth, MI 48170
Phone: (734) 525-9712
Fax: (480) 777-1345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1689201402
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCP
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address45211 Helm St, Plymouth, MI 48170

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