# MANDALAY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598611618
- **Authorized official:** MYA YEE NANDAR PMHNP (OWNER)
- **Authorized official phone:** (315) 547-0502

## Contact information

- **Practice address:** 928 NUUANU AVE LOWR LEVEL, HONOLULU, HI 96817-5193
- **Practice address phone:** (315) 547-0502
- **Mailing address:** 355 FALLBROOK CT, SCHAUMBURG, IL 60194-4933
- **Mailing address phone:** (315) 547-0502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 03/10/2026
