Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gwen Madeline Stafford

Individual provider Athletic Trainer · NPI 1851165021

Gwen Madeline Stafford is an Athletic Trainer in Shoreham, Vermont. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1707 N Cream Hill Rd
Shoreham, VT 05770-9707
Phone: (802) 349-9832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1851165021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023