Provider Demographics
NPI:1982375259
Name:VOSS-PLUTSCHACK, BAYLEE LYNN
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:LYNN
Last Name:VOSS-PLUTSCHACK
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 1:526 DEMAREST AVE
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-1945
Mailing Address - Country:US
Mailing Address - Phone:715-281-8204
Mailing Address - Fax:
Practice Address - Street 1:526 DEMAREST AVE
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-1945
Practice Address - Country:US
Practice Address - Phone:715-281-8204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI243145163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse