Healthcare Provider Details

I. General information

NPI: 1871074518
Provider Name (Legal Business Name): BRIAN GABRIEL CENCI CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 BABCOCK BLVD STE G600
PITTSBURGH PA
15237-5815
US

IV. Provider business mailing address

8150 PERRY HWY STE 300
PITTSBURGH PA
15237-5232
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-1199
  • Fax: 412-367-0216
Mailing address:
  • Phone: 141-236-9955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN661127
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019142
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: