Individual
MRS. MIKAYLA LEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
3700 LINDEN AVE, FORT WORTH, TX 76107-4544
(281) 786-7510
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1135184
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
900019
TX
Other
Enumeration date
05/19/2023
Last updated
03/05/2026
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