person
William John Self, FNP-C
Family Nurse Practitioner in Salt Lake City, Utah
NPI 1346721891

William John Self is a Family Nurse Practitioner based in Salt Lake City, UT and is specialized in Family. William John Self practices in Salt Lake City, UT and has the professional credentials of FNP-C. The NPI Number for William John Self is 1346721891 and holds a License No. 9475918-3102 (Utah).

The current practice location address for William John Self is 6222 S Moffat Farm Ln, Salt Lake City, UT and can be reached out via phone at 970-590-3773.

Location: 6222 S Moffat Farm Ln, Salt Lake City, UT, 84121-6713
person
Provider Profile Details
NPI Number
1346721891
Provider Name
William John Self
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
6222 S Moffat Farm Ln, Salt Lake City, UT, 84121-6713
Phone Number
970-590-3773
Fax Number
Provider Enumeration Date
08/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6222 S Moffat Farm Ln
City
State
Zip
84121-6713
Phone Number
970-590-3773
Fax Number
person
Provider Business Mailing Address Details
Address
6222 S Moffat Farm Ln
City
State
Zip
84121-6713
Phone Number
970-590-3773
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
9475918-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
9475918-3102 (Utah)
Definition
Definition to come...
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