Healthcare Provider Details

I. General information

NPI: 1376019364
Provider Name (Legal Business Name): KARLA KAY BOROFF CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARLA SPITNALE

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HIGH ST STE 240
LIMA OH
45801-3959
US

IV. Provider business mailing address

3590 W BREESE RD
LIMA OH
45806-1516
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-5037
  • Fax: 419-996-5068
Mailing address:
  • Phone: 419-236-8176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023807
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: