Organization
ON EAGLES WINGS RESTORATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAA DICKSON RN, PMHNP, FNP-C, (ADMINISTRATOR)
(410) 656-9880
Entity
Organization
Contact information
Practice address
669 BEL AIR RD # 1152, BEL AIR, MD 21014-4306
(410) 908-0944
Mailing address
669 BEL AIR RD # 1152, BEL AIR, MD 21014-4306
(410) 656-9880
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
07/01/2026
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