MEDICARE: TIERRA ROOKS

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	R244459	MD

General Provider Information

NPI Number	:	1942163886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIERRA ROOKS

Provider Business Mailing Address
First Line	:	1321 DARTMOUTH AVE
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-5937
Country	:	US
Telephone Number	:	410-805-1913
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 SAINT PAUL ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-2123
Country	:	US
Telephone Number	:	410-332-9000
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ TIERRA ROOKS ” Practice Location

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