Individual provider · Type 1 NPI

Keniesha Miller Bolden, DNP, MSN, APRN, NP-C

Nurse Practitioner · Deer Park, TX

NPI number 1689161150 Active

Practice location

1806 Center St
Deer Park, TX 77536-3512

Fax (281) 402-8624

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP137150 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1689161150

Keniesha Miller Bolden, DNP, MSN, APRN, NP-C's National Provider Identifier is 1689161150, issued on Apr 19, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Deer Park, TX. The record was last updated on Aug 19, 2024.