Healthcare Provider Details

I. General information

NPI: 1881062818
Provider Name (Legal Business Name): DENICE FOSTER HP,ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENICE FOSTER ND

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 W FORT WILLIAMS ST
SYLACAUGA AL
35150-2301
US

IV. Provider business mailing address

1023 W FORT WILLIAMS ST
SYLACAUGA AL
35150-2301
US

V. Phone/Fax

Practice location:
  • Phone: 256-334-4653
  • Fax: 256-369-1735
Mailing address:
  • Phone: 309-267-6308
  • Fax: 256-369-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberLEHP1268
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: