NPI

Nicole Elaine Mold

NPI 1134440381

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
OTR/L
Type
Individual
Enumeration date
2010-06-22
Last updated
2026-10-20

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Specialties

Licenses

License MN
103477

Location

Practice location
4115 Ambassador Blvd NW
City
Saint Francis MN
Postal code
55070-9368
Phone
(763) 753-7040

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Saint Francis, MN. 54 records in the public file.

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