# VANESSA H. EAGLIN, MD LLC

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

## Provider details

- **NPI number:** 1982472338
- **Authorized official:** DR. VANESSA HULALI EAGLIN MD (OWNER)
- **Authorized official phone:** (808) 557-6261

## Contact information

- **Practice address:** 180 KINOOLE ST STE 202, HILO, HI 96720-2827
- **Practice address phone:** (808) 470-6754
- **Practice address fax:** (808) 333-5120
- **Mailing address:** 180 KINOOLE ST STE 202, HILO, HI 96720-2827
- **Mailing address phone:** (808) 470-6754
- **Mailing address fax:** (808) 333-5120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2023
- **Last updated:** 12/14/2023