Individual provider · Type 1 NPI

Mariah Marie Harris, PA-C

Physician Assistant · Pewaukee, WI

NPI number 1336094523 Active

Practice location

N15W28300 Golf Rd
Pewaukee, WI 53072-4800

Fax (262) 303-5057

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8949-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336094523

Mariah Marie Harris, PA-C's National Provider Identifier is 1336094523, issued on Mar 3, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pewaukee, WI. The record was last updated on Jul 21, 2026.