Healthcare Provider Details

I. General information

NPI: 1992583066
Provider Name (Legal Business Name): EVANS FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PILOT MEDICAL DR STE 300
BIRMINGHAM AL
35235-3412
US

IV. Provider business mailing address

3548 LAKESIDE DR
VESTAVIA AL
35243-1918
US

V. Phone/Fax

Practice location:
  • Phone: 205-856-2284
  • Fax:
Mailing address:
  • Phone: 205-422-0215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-136988
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: