Provider Demographics
NPI:1912619107
Name:SLEEP EASY ANESTHESIA, LLC.
Entity Type:Organization
Organization Name:SLEEP EASY ANESTHESIA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:701-527-4855
Mailing Address - Street 1:1218 COMMANDER DR W
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-8454
Mailing Address - Country:US
Mailing Address - Phone:701-527-4855
Mailing Address - Fax:
Practice Address - Street 1:4423 45TH ST S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4491
Practice Address - Country:US
Practice Address - Phone:701-527-4855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty