Individual
KEENA JOHNSON-BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
634327
CA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95003776
CA
Other
Enumeration date
10/25/2016
Last updated
08/07/2025
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