Provider Demographics
NPI:1598161234
Name:DAYCO, NIBERONOFER PACUAL (APRN)
Entity Type:Individual
Prefix:
First Name:NIBERONOFER
Middle Name:PACUAL
Last Name:DAYCO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 N DECATUR BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1911
Mailing Address - Country:US
Mailing Address - Phone:702-327-8867
Mailing Address - Fax:
Practice Address - Street 1:633 N DECATUR BLVD
Practice Address - Street 2:STE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1911
Practice Address - Country:US
Practice Address - Phone:702-327-8867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily