Provider Demographics
NPI:1730788514
Name:WAYLAND, ALAINA NICHOLE
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:NICHOLE
Last Name:WAYLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:
Practice Address - Street 1:161 FORT EVANS RD NE STE 320
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3374
Practice Address - Country:US
Practice Address - Phone:703-777-5111
Practice Address - Fax:703-777-8465
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant