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

Memphis Chardell Sandoval, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720692494

Memphis Chardell Sandoval, PMHNP-BC is a Nurse Practitioner in Honolulu, Hawaii. Qualified in 2020, 6 years ago. Practices with George Mackel Pmhnp-Bc LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii, Indiana, Michigan and Nevada.

Years since qualifying
6
Licensed in
HI, IN, MI, NV
In the registry since
2020
Specialties on file
5
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

200 N Vineyard Blvd Ste A325-439
Honolulu, HI 96817-3950
Phone: (808) 646-3782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-5396-0 (HI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71014109A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704299093 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 863235 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704299093 (MI)

Record details

NPI number1720692494
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice George Mackel Pmhnp-Bc Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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