location
search-icon
person
Mr. Brenton Waystout, FNP-BC
Family Nurse Practitioner in Fairbury, Illinois
NPI 1255748745

Brenton Waystout is a Family Nurse Practitioner based in Fairbury, IL and is specialized in Family. Brenton Waystout practices in Fairbury, IL and has the professional credentials of FNP-BC. The NPI Number for Brenton Waystout is 1255748745 and holds a License No. 209011651 (Illinois).

The current practice location address for Brenton Waystout is 115 E Walnut St, Fairbury, IL and can be reached out via phone at 815-692-2305.

Location: 115 E Walnut St, Fairbury, IL, 61739-1516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255748745
Provider Name
Brenton Waystout
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
115 E Walnut St, Fairbury, IL, 61739-1516
Phone Number
815-692-2305
Fax Number
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
209011651 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
115 E Walnut St
City
Fairbury
State
Illinois
Zip
61739
Phone Number
815-692-2305
Fax Number
person
Provider Business Mailing Address Details
Address
115 E Walnut St
City
Fairbury
State
Illinois
Zip
61739
Phone Number
815-692-2305
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209011651 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.