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Organization
SIESTA ANESTHESIA SERVICES
Active
Organization
SIESTA ANESTHESIA SERVICES
Active
Parent organization
SIESTA ANESTHESIA SERVICES
Other names
Journey To Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIESTA ANESTHESIA SERVICES
Authorized official
JACQUELINE M MATERI (CRNA PRESIDENT)
(701) 471-0081
Entity
Organization
Contact information
Practice address
1120 COLLEGE DR STE 100, BISMARCK, ND 58501-1225
(701) 760-8606
(701) 760-8050
Mailing address
1120 COLLEGE DR STE 100, BISMARCK, ND 58501-1225
(701) 471-0081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
11/13/2025
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