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CLYDE O EDRALIN
NPI 1124963160
Technician - Attendant Care Provider in Henderson, NV

Active since April 23, 2026
1013 ROARING RIVER AVE, HENDERSON, NV 89002(702) 855-3382(702) 855-3384 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clyde O Edralin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE O EDRALIN (NPI 1124963160) is an individual attendant care provider provider in Henderson, Nevada and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1124963160
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameCLYDE O EDRALIN
Location Address1013 ROARING RIVER AVEHenderson, NV 89002-0926
Mailing Address1013 Roaring River AveHenderson, NV 89002-0926 · (702) 855-3382 · Fax (702) 855-3384
Phone(702) 855-3382
Fax(702) 855-3384
Sole ProprietorYes
Enumeration DateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1124963160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
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.
1013 ROARING RIVER AVE, Henderson, NV 89002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Edralin's NPI number?

The NPI number for Clyde Edralin is 1124963160. It was assigned to this individual provider in the NPPES registry on April 23, 2026.

Where is Clyde Edralin located?

Clyde Edralin practices at 1013 Roaring River Ave, Henderson, NV 89002. The listed phone number is (702) 855-3382.

What is Clyde Edralin's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Clyde Edralin was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.