Provider Demographics
NPI:1144674201
Name:VOSS, VANESSA BAILYN (MD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:BAILYN
Last Name:VOSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 METAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3974
Mailing Address - Country:US
Mailing Address - Phone:504-644-4226
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1615 METAIRIE RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3974
Practice Address - Country:US
Practice Address - Phone:504-644-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020012670207N00000X
LA326358207N00000X, 207ND0101X
MS28832207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology