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Mckenna Ivy Shofroth, RN

General Practice Registered Nurse in Maryville, IL · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962158501

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Registry record

Entity type Individual (Type 1)
Name Mckenna Ivy Shofroth
Credential RN
Sex Female
Practice address 20 Professional Park Dr Ste B, Maryville, IL, 62062
Phone (618) 288-1480
Fax (888) 718-4696
Enumeration date Feb 22, 2022
Last updated in NPPES Feb 22, 2022

Taxonomy & licenses

163WG0000X General Practice Registered Nurse Nursing Service Providers · License 041521566 (IL) Primary
RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

Other identifiers

Identifier Type State Issuer
1417916099 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mckenna Shofroth practice?
The practice location on file with NPPES is in Maryville, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mckenna Shofroth?
The National Provider Identifier (NPI) for Mckenna Shofroth is 1962158501, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-22.