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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
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/13/2019
Last updated
11/13/2025
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