Individual
THOMAS MATTHEW MOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
Mailing address
590 LEAH DR, PRINCETON, WV 24739-9017
(304) 920-5656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97135
WV
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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