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

McKenna Ivy Shofroth, RN

Individual provider General Practice Registered Nurse · NPI 1962158501

McKenna Ivy Shofroth, RN is a General Practice Registered Nurse in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

20 Professional Park Dr Ste B
Maryville, IL 62062-5830
Phone: (618) 288-1480
Fax: (888) 718-4696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 041521566 (IL)

Record details

NPI number1962158501
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 18, 2022