Provider Demographics
NPI:1215728738
Name:WILAND, NICOLE VIRGINIA (AUD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:VIRGINIA
Last Name:WILAND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:VIRGINIA
Other - Last Name:BENDYNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7407 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-1302
Mailing Address - Country:US
Mailing Address - Phone:443-655-5433
Mailing Address - Fax:
Practice Address - Street 1:3315 N RIDGE RD E
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-4332
Practice Address - Country:US
Practice Address - Phone:440-789-1785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02588231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist