# SIESTA ANESTHESIA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIESTA ANESTHESIA SERVICES
- **Other names:** Journey To Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861034662
- **Legal business name:** SIESTA ANESTHESIA SERVICES
- **Authorized official:** JACQUELINE M MATERI (CRNA PRESIDENT)
- **Authorized official phone:** (701) 471-0081

## Contact information

- **Practice address:** 1120 COLLEGE DR STE 100, BISMARCK, ND 58501-1225
- **Practice address phone:** (701) 760-8606
- **Practice address fax:** (701) 760-8050
- **Mailing address:** 1120 COLLEGE DR STE 100, BISMARCK, ND 58501-1225
- **Mailing address phone:** (701) 471-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2019
- **Last updated:** 11/13/2025