Provider Demographics
NPI:1407165947
Name:DORFF, SARAH ANN (CRNA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:DORFF
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11570 58TH CT N
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-6105
Mailing Address - Country:US
Mailing Address - Phone:651-334-5341
Mailing Address - Fax:
Practice Address - Street 1:11570 58TH CT N
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-6105
Practice Address - Country:US
Practice Address - Phone:651-334-5341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1709546367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered