Individual provider · Type 1 NPI

Clyde O. Edralin

Attendant Care Provider · Henderson, NV

NPI number 1124963160 Active

Practice location

1013 Roaring River Ave
Henderson, NV 89002-0926

Fax (702) 855-3384

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1124963160

Clyde O. Edralin's National Provider Identifier is 1124963160, issued on Apr 23, 2026. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Henderson, NV. The record was last updated on Apr 23, 2026.