Mr Brenton Waystout, FNP-BC | |
115 E Walnut St, Fairbury, IL 61739 | |
(815) 692-2305 | |
Not Available |
Full Name | Mr Brenton Waystout |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 115 E Walnut St, Fairbury, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255748745 | NPI | - | NPPES |
209011651 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209011651 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Brenton Waystout, FNP-BC 115 E Walnut St, Fairbury, IL 61739-1516 Ph: (815) 692-2305 | Mr Brenton Waystout, FNP-BC 115 E Walnut St, Fairbury, IL 61739 Ph: (815) 692-2305 |
Katelyn J Stites, APN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S 1st St, Fairbury, IL 61739 Phone: 815-692-2308 | |
Lorilee Dunahee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S 1st St, Fairbury, IL 61739 Phone: 815-692-2833 Fax: 815-692-3278 |