IndividualActive
Breanna Hackworth
NPI 1689201402 · Perfusionist · Plymouth, MI
Provider details
- NPI number
- 1689201402
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
5801 S Mcclintock Dr Ste 110
Tempe, AZ 85283-6002
Registry dates
- Enumerated
- 2020-03-23
- Last updated
- 2020-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.