Provider Demographics
NPI:1053202945
Name:DANSEREAU, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:DANSEREAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48356-2378
Mailing Address - Country:US
Mailing Address - Phone:810-360-5058
Mailing Address - Fax:
Practice Address - Street 1:801 VAN GUARD RD
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1110
Practice Address - Country:US
Practice Address - Phone:248-334-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704348752163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse