Healthcare Provider Details

I. General information

NPI: 1548352834
Provider Name (Legal Business Name): APRIL M. CLYDE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 W CHARLESTON BLVD STE 78
LAS VEGAS NV
89102-1910
US

IV. Provider business mailing address

332 S. JONES BLVD
LAS VEGAS NV
89107
US

V. Phone/Fax

Practice location:
  • Phone: 702-269-6018
  • Fax: 702-269-6081
Mailing address:
  • Phone: 702-269-6018
  • Fax: 702-269-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN000807
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP3487
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN000807
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN000807
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code363LP1700X
TaxonomyPerinatal Nurse Practitioner
License NumberAPRN000807
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN000807
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN000807
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: