Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Neurology, LLC

Organization Neurology Physician · NPI 1306684980

Northern Neurology, LLC is a Neurology Physician in Wasilla, Alaska. Works from 3 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Phone: (907) 416-6594
Fax: (800) 654-6250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4000 Old Seward Hwy Ste 301, Anchorage, AK 99503-6068 — (907) 416-6594
  • 1405 Kellum St Ste 100, Fairbanks, AK 99701-4189 — (907) 416-6594

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1306684980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natasha Ditomaso — Practice Manager · (907) 416-6594
NPI enumeratedJuly 17, 2024
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address3505 E Meridian Park Loop Ste 100, Wasilla, AK 99654-7242

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