Healthcare Provider Details

I. General information

NPI: 1255213161
Provider Name (Legal Business Name): MIATTA BORKAI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 BISHOP WAY
DUBLIN PA
18917-1400
US

IV. Provider business mailing address

118 BISHOP WAY
DUBLIN PA
18917-1400
US

V. Phone/Fax

Practice location:
  • Phone: 267-670-4028
  • Fax:
Mailing address:
  • Phone: 267-670-4028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9633648
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9633648
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN9633648
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9633648
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: