# ON EAGLES WINGS RESTORATIVE HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760362487
- **Authorized official:** NAA DICKSON BSN, PMHNP-BC, FNP-C (CEO/PROVIDER)
- **Authorized official phone:** (410) 908-0944

## Contact information

- **Practice address:** 669 BEL AIR RD \# 1152, BEL AIR, MD 21014-4306
- **Practice address phone:** (410) 656-9880
- **Mailing address:** 669 BEL AIR RD \# 1152, BEL AIR, MD 21014-4306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 11/06/2025