WILLIAM JOHN SELF FNP-C
NPI 1346721891
Nurse Practitioner - Family in Salt Lake City, UT

Active since August 23, 2018
6222 S MOFFAT FARM LN, SALT LAKE CITY, UT 84121(970) 590-3773 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2019, Aug 23, 2018 (2 updates tracked since 2018).

About William John Self Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM JOHN SELF FNP-C (NPI 1346721891) is an individual family provider in Salt Lake City, Utah, licensed in Utah (9475918-4405) and active in the NPI registry since August 2018. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346721891
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM JOHN SELFCredential: FNP-C
Location Address6222 S MOFFAT FARM LNSalt Lake City, UT 84121-6713
Mailing Address6222 S Moffat Farm LnSalt Lake City, UT 84121-6713 · (970) 590-3776 · Fax (801) 290-2466
Sole ProprietorYes
Enumeration DateAugust 23, 2018
Last NPPES UpdateJanuary 22, 20192 updates tracked since enumeration
NPI 1346721891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 9475918-4405
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 9475918-3102 (UT)
6222 S MOFFAT FARM LN, Salt Lake City, UT 84121

Secondary Practice Locations 3

Location 11840 S 1300 ESalt Lake City, UT 84105-3617 · Phone (801) 484-7651
Location 21950 E 7000 SSalt Lake City, UT 84121-6894 · Phone (801) 943-3300 · Fax (801) 943-3461
Location 3941 E 3300 SMillcreek, UT 84106-2100 · Phone (801) 266-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Self's NPI number?

The NPI number for William Self is 1346721891. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is William Self located?

William Self practices at 6222 S Moffat Farm Ln, Salt Lake City, UT 84121. The listed phone number is (970) 590-3773.

What is William Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for William Self was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.