Healthcare Provider Details

I. General information

NPI: 1144957614
Provider Name (Legal Business Name): ERIKA V PUZANOV APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA V SCHMIDT RN

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 MARLIN RD STE 35003600
CHATTANOOGA TN
37411-5644
US

IV. Provider business mailing address

5721 MARLIN RD STE 35003600
CHATTANOOGA TN
37411-5644
US

V. Phone/Fax

Practice location:
  • Phone: 423-803-2580
  • Fax: 423-498-3202
Mailing address:
  • Phone: 423-803-2580
  • Fax: 423-498-3202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number32178
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: