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Mrs. Miranda R Dethier, PA-C

Physician Assistant in Menomonee Falls, WI · enumerated 2011 · practices at Prohealth Medical Group Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760770960

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Registry record

Entity type Individual (Type 1)
Name Mrs. Miranda R Dethier
Credential PA-C
Sex Female
Practice address W165n5595 Creekwood Xing, Menomonee Falls, WI, 53051
Phone (262) 252-1050
Fax (262) 525-4781
Enumeration date Jul 21, 2011
Last updated in NPPES Jun 23, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2758-23 (WI) Primary

Other identifiers

Identifier Type State Issuer
1760770960 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Miranda Dethier?
The National Provider Identifier (NPI) for Miranda Dethier is 1760770960, a Type 1 (individual) record in the CMS NPPES registry.
Where does Miranda Dethier practice?
The practice location on file with NPPES is in Menomonee Falls, WI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-23.