Provider Demographics
NPI:1740202886
Name:TECU, NANCY J (WHNP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:TECU
Suffix:
Gender:F
Credentials:WHNP
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-3181
Mailing Address - Fax:314-362-2893
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 13C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-3181
Practice Address - Fax:314-362-2893
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO127163363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO429123607Medicaid
ILENROLLEDMedicaid
MOP00234523Medicare PIN
MO823740217Medicaid