Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mia Watson, PA-C

Individual provider Physician Assistant · NPI 1083492011

Mia Watson, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12000 Bustleton Ave Ste 102
Philadelphia, PA 19116-2151
Phone: (215) 673-7600
Fax: (215) 673-1894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA065077 (PA)

Record details

NPI number1083492011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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