Individual provider · Type 1 NPI
McKenna Ivy Shofroth, RN
General Practice Registered Nurse · Maryville, IL
NPI number
1962158501
Active
Practice location
20 Professional Park Dr Ste B
Maryville, IL 62062-5830
Fax (888) 718-4696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 041521566 (IL) |
General Practice Registered Nurse: Definition to come...
4 other providers at this address
- Abby Marie Beedy, PA-CMedical Physician Assistant Maryville, IL NPI 1942497037
- Jamie Michelle Schneider, FNPFamily Nurse Practitioner Maryville, IL NPI 1245791847
- Kayla B. Wuebbels, FNPFamily Nurse Practitioner Maryville, IL NPI 1417474511
- Patrese P. SchneiderFamily Nurse Practitioner Maryville, IL NPI 1144061185
Other general practice registered nurse providers in Maryville
About NPI 1962158501
McKenna Ivy Shofroth, RN's National Provider Identifier is 1962158501, issued on Feb 22, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Maryville, IL. The record was last updated on Feb 22, 2022.