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

Breanna M Eddy

Individual provider Nurse Practitioner · NPI 1518626340

Breanna M Eddy is a Nurse Practitioner in Clinton Township, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 263-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1212 N Selfridge Blvd, Clawson, MI 48017-1006 — (248) 736-0839

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704326863 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704326863 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704326863 (MI)

Record details

NPI number1518626340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2021
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address1212 N Selfridge Blvd, Clawson, MI 48017-1006

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township