Provider Demographics
NPI:1710584834
Name:NANDAR, MYA YEE (APRN, FNP, PMHNP)
Entity type:Individual
Prefix:
First Name:MYA YEE
Middle Name:
Last Name:NANDAR
Suffix:
Gender:F
Credentials:APRN, FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 FALLBROOK CT
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-4933
Mailing Address - Country:US
Mailing Address - Phone:808-989-9192
Mailing Address - Fax:
Practice Address - Street 1:25480 W CEDAR CREST LN
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-8256
Practice Address - Country:US
Practice Address - Phone:847-380-8339
Practice Address - Fax:630-844-2065
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021540363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily