OrganizationActive
Northern Neurology, LLC
NPI 1306684980 · Neurology Physician · Wasilla, AK
Provider details
- NPI number
- 1306684980
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Natasha Ditomaso, Practice Manager(907) 416-6594
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Phone: (907) 416-6594
Fax: (800) 654-6250
Approximate (ZIP-level) locationGet directions
Mailing address
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Additional practice locations (2)
- 4000 Old Seward Hwy Ste 301Anchorage, AK 99503-6068Phone: (907) 416-6594Fax: (800) 654-6250
- 1405 Kellum St Ste 100Fairbanks, AK 99701-4189Phone: (907) 416-6594Fax: (800) 654-6250
Registry dates
- Enumerated
- 2024-07-17
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.