Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MIO WATANABE
Active
Individual
MIO WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
105968801206
UT
363A00000X
Physician Assistant
13106
MN
363A00000X
Physician Assistant
141585
AK
363A00000X
Physician Assistant
Primary
PAC0794
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478025
—
ND
05
—
1693549
—
AK
05
—
1730695412
—
MN
Enumeration date
12/18/2017
Last updated
01/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers