IndividualActive
Tae Mardanov, CRNP
NPI 1851066211 · Neonatal Nurse Practitioner · Baltimore, MD
Provider details
- NPI number
- 1851066211
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- R251249 (MD)
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.