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

Gianna Derenzi

Individual provider Surgery Physician · NPI 1962357673

Gianna Derenzi is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2026
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Practice location Address checks out

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (215) 614-1963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence SP034491 (PA)

Record details

NPI number1962357673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address3400 Civic Center Blvd, Philadelphia, PA 19104-5127

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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