Provider Demographics
NPI:1144957614
Name:PUZANOV, ERIKA V (APRN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:V
Last Name:PUZANOV
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:V
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:725 GLENWOOD DR STE W552
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1163
Mailing Address - Country:US
Mailing Address - Phone:423-495-2650
Mailing Address - Fax:423-495-2655
Practice Address - Street 1:725 GLENWOOD DR STE W552
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1163
Practice Address - Country:US
Practice Address - Phone:423-495-2650
Practice Address - Fax:423-495-2655
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32178363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care