ON EAGLES WINGS RESTORATIVE SERVICES NPI 1154186179

NPI Information

  • NPI: 1154186179
  • Provider Name: ON EAGLES WINGS RESTORATIVE SERVICES
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 669 BEL AIR RD # 1152
    BEL AIR, MD
    ZIP 21014
  • Phone: (410) 908-0944

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NPI Details

ON EAGLES WINGS RESTORATIVE SERVICES is a family nurse practitioner in Bel Air, MD. ON EAGLES WINGS RESTORATIVE SERVICES NPI is 1154186179. The provider is registered as an organization entity type.

The provider's business location address is:

669 BEL AIR RD # 1152
BEL AIR, MD
ZIP 21014-306
Phone: (410) 908-0944

The provider's authorized official is Naa Dickson .
The authorized official title is Administrator and has the following contact phone number (410) 908-0944.

The enumeration date for this NPI number is 2/19/2024 and was last updated on 11/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNo
2363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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