Provider Demographics
NPI:1194931196
Name:EAGLIN, VANESSA HULALI (MD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:HULALI
Last Name:EAGLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:73 PUUHONU PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2060
Mailing Address - Country:US
Mailing Address - Phone:808-969-7922
Mailing Address - Fax:808-934-2037
Practice Address - Street 1:73 PUUHONU PL
Practice Address - Street 2:SUITE 200
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2060
Practice Address - Country:US
Practice Address - Phone:808-969-7922
Practice Address - Fax:808-934-2037
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI133682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry