| Mckenna Ivy Shofroth, RN | |
|
20 Professional Park Dr Ste B, Maryville, IL 62062-5830 | |
| (618) 288-1480 | |
| (888) 718-4696 |
| Full Name | Mckenna Ivy Shofroth |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - General Practice |
| Location | 20 Professional Park Dr Ste B, Maryville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962158501 | NPI | - | NPPES |
| 1417916099 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 041521566 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenna Ivy Shofroth, RN 20 Professional Park Dr Ste B, Maryville, IL 62062-5830 Ph: (618) 288-1480 | Mckenna Ivy Shofroth, RN 20 Professional Park Dr Ste B, Maryville, IL 62062-5830 Ph: (618) 288-1480 |
Gina Marie Topal, RN-BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-5597 | |
Jessica Erin Duft, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6701 | |
Bretton Scott Little, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6699 | |
Mr. Thomas Francis Dissette Jr., Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6720 Oxford Ln, Maryville, IL 62062 Phone: 618-975-6692 | |
Natasha Bates, APRN, PMHNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24b Professional Park Dr, Maryville, IL 62062 Phone: 618-310-0085 Fax: 618-744-0677 | |
Claire Eller, Registered Nurse Medicare: Medicare Enrolled Practice Location: 6800 Il Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Mr. William Michael Weiss I, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2148 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-3100 |