# MS. MARYLYN RENEE HARRIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043441074
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | 582752 | TX | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 582752 | TX | Yes |
| 171000000X | Military Health Care Provider | 582752 | TX | — |
| 171M00000X | Case Manager/Care Coordinator | 582752 | TX | — |
| 374T00000X | Religious Nonmedical Nursing Personnel | 582752 | TX | — |

## Other

- **Enumeration date:** 08/08/2009
- **Last updated:** 03/17/2018
