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

Mr. Brenton Waystout, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1255748745

Mr. Brenton Waystout, FNP-BC is a Family Nurse Practitioner in Fairbury, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

115 E Walnut St
Fairbury, IL 61739
Phone: (815) 692-2305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209011651 (IL)

Record details

NPI number1255748745
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESMay 17, 2018

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