MEDICARE: ATLAS MAGNUS MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LA2100X	Acute Care Nurse Practitioner
2	363LG0600X	Gerontology Nurse Practitioner
3	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1568390862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS MAGNUS MEDICAL LLC

Provider Business Mailing Address
First Line	:	325 HARBOUR COVE DR STE 319
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-7860
Country	:	US
Telephone Number	:	702-285-9779
Fax Number	:	702-285-9779

Provider Business Practice Location Address
First Line	:	325 HARBOUR COVE DR STE 319
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-7860
Country	:	US
Telephone Number	:	702-285-9779
Fax Number	:	702-285-9779

Authorized Official
Title or Position	:	NP PRIMARY CARE PROVIDER
Name	:	MISS VIVIAN CAYABYAB CAYABYAB
Credential	:	APRN
Telephone Number	:	702-285-9779

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ATLAS MAGNUS MEDICAL LLC ” Practice Location

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