Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tae Seo Mardanov, CRNP

Individual provider Neonatal Nurse Practitioner · NPI 1851066211

Tae Seo Mardanov, CRNP is a Neonatal Nurse Practitioner in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2021.

Licensed in
MD
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Orleans St
Baltimore, MD 21287-0010
Phone: (410) 955-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence R251249 (MD)

Record details

NPI number1851066211
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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