Provider Demographics
NPI:1376671289
Name:DURDEN, STEPHANI ANNE (BA)
Entity Type:Individual
Prefix:
First Name:STEPHANI
Middle Name:ANNE
Last Name:DURDEN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:STEPHANI
Other - Middle Name:ANNE
Other - Last Name:TREFFERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:563 SWANSTON DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-3313
Mailing Address - Country:US
Mailing Address - Phone:916-443-5535
Mailing Address - Fax:
Practice Address - Street 1:563 SWANSTON DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-3313
Practice Address - Country:US
Practice Address - Phone:916-443-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator