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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWEN MADELINE STAFFORD

Active

GWEN MADELINE STAFFORD is a Athletic Trainer healthcare provider located in SHOREHAM, Vermont. NPI 1851165021 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SHOREHAM, VT

Registration Details

NPI Number
1851165021
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2023 (2.7403036663844 yrs)
Last Updated
Nov 8, 2023

Practice Information

Address
1707 N CREAM HILL RD
SHOREHAM, VT, 057709707
Browse VT providers · Browse ZIP 05770
Phone
8023499832
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.