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Brenton Waystout, FNP-BC
NPI 1255748745 · on the registry since 2014
Practice
- Address
- 115 E Walnut St
Fairbury, IL 61739 - Phone
- (815) 692-2305
- Organisation at this address
- Bromenn Physicians Management Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois