Healthcare Provider Details

I. General information

NPI: 1013833987
Provider Name (Legal Business Name): ANDREW DAVID LAW LPN, NRP, TP-C, FP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SALT RIVER RD
SAINT PETERS MO
63376-3956
US

IV. Provider business mailing address

PO BOX 61
NEW MELLE MO
63365-0061
US

V. Phone/Fax

Practice location:
  • Phone: 636-696-9061
  • Fax:
Mailing address:
  • Phone: 636-696-9061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberCP-19097
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: