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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRENTON WAYSTOUT, FNP-BC

Active

MR. BRENTON WAYSTOUT, FNP-BC is a Family Nurse Practitioner healthcare provider located in FAIRBURY, Illinois. NPI 1255748745 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FAIRBURY, IL

Registration Details

NPI Number
1255748745
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2014 (12.066307414316 yrs)
Last Updated
May 17, 2018
License
209011651 (IL)

Practice Information

Address
115 E WALNUT ST
FAIRBURY, IL, 61739
Browse IL providers · Browse ZIP 61739
Phone
8156922305
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in FAIRBURY, IL

Name Credential NPI
KATELYN J STITES APN, NP-C 1013480763
ROBERT E WORTHEN APRN, FNP-BC 1942920129
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.