Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENNA IVY SHOFROTH, RN
ActiveMCKENNA IVY SHOFROTH, RN is a General Practice Nurse healthcare provider located in MARYVILLE, Illinois. NPI 1962158501 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · MARYVILLE, IL
Registration Details
- NPI Number
- 1962158501
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2022 (4.5164768639558 yrs)
- Last Updated
- Feb 22, 2022
- License
-
041521566 (IL)
Practice Information
- Address
-
20 PROFESSIONAL PARK DR STE BMARYVILLE, IL, 620625830Browse IL providers · Browse ZIP 62062
- Phone
- 6182881480
- Fax
- 8887184696
- Primary Specialty
-
General Practice Nurse
163WG0000X
Other General Practice Nurse Providers in MARYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| GINA MARIE TOPAL | RN-BSN | 1073399341 |
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.