Provider Demographics
NPI:1649000803
Name:DORSEY, SARAH (APRN-CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DORSEY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:LOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10218 S FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-6048
Mailing Address - Country:US
Mailing Address - Phone:918-237-9500
Mailing Address - Fax:
Practice Address - Street 1:10218 S FULTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-6048
Practice Address - Country:US
Practice Address - Phone:918-237-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK219618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine