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

Wasilla Internal Medicine LLC

Organization Family Medicine Physician · NPI 1578110011

Wasilla Internal Medicine LLC is a Family Medicine Physician in Wasilla, Alaska. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

3719 E Meridian Loop Ste F
Wasilla, AK 99654-7273
Phone: (907) 373-5940
Fax: (907) 373-5947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1578110011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mettessa Reid — Administrator · (907) 250-3482
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019
Mailing address3719 E Meridian Loop Ste F, Wasilla, AK 99654-7273

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