Brenton Waystout, FNP-BC
Family NP · Fairbury, IL
UnclaimedFNP-BCNPI 1255748745
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2014-07-16
- Practice location
- Fairbury, IL
- Last NPPES update
- 2018-05-17
State licenses
- IL · Nurse practitioner · ADVANCED PRACTICE REGISTERED NURSEInactivethrough 2020
- IL · Nurse practitioner · FULL PRACTICE AUTHORITY APRNExpiredthrough 2024
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.