Individual provider · Type 1 NPI

Breanna Hackworth, CCP

Perfusionist · Plymouth, MI

NPI number 1689201402 Active

Practice location

45211 Helm St.
Plymouth, MI 48170

Call (734) 525-9712 Map

Fax (480) 777-1345

Mailing address

45211 Helm St
Plymouth, MI 48170

Specialties and licenses

TaxonomyCodeLicense
Perfusionist Primary 242T00000XNone listed

Perfusionist: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the …

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About NPI 1689201402

Breanna Hackworth, CCP's National Provider Identifier is 1689201402, issued on Mar 23, 2020. The primary taxonomy on file is Perfusionist (242T00000X), and the practice location is in Plymouth, MI. The record was last updated on Aug 4, 2026.