MEDICARE: ALIYA BROOKS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001337227	VA

General Provider Information

NPI Number	:	1497602593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIYA BROOKS

Provider Business Mailing Address
First Line	:	12302 PROSPECT LNDG
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2533
Country	:	US
Telephone Number	:	973-617-0259
Fax Number	:

Provider Business Practice Location Address
First Line	:	12302 PROSPECT LNDG
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2533
Country	:	US
Telephone Number	:	973-617-0259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ ALIYA BROOKS ” Practice Location

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