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BREELYN JAN VAN LEEUWEN PA-C, MSPA
NPI 1043640071
Physician Assistant in Provo, UT

Active since November 12, 2013
1055 N 500 W STE 211, PROVO, UT 84604(801) 357-7327(801) 375-8860 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breelyn Jan Van Leeuwen Pa-c, Mspa NPPES

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

BREELYN JAN VAN LEEUWEN PA-C, MSPA (NPI 1043640071) is an individual physician assistant in Provo, Utah, licensed in Utah (8808600-1206) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1043640071
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREELYN JAN VAN LEEUWENCredential: PA-C, MSPA
Location Address1055 N 500 W STE 211Provo, UT 84604-3305
Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 812-4673 · Fax (801) 418-0941
Phone(801) 357-7327
Fax(801) 375-8860
Sole ProprietorNo
Enumeration DateNovember 12, 2013
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1043640071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 8808600-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1055 N 500 W STE 211, Provo, UT 84604
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA SWAN PA
Physician Assistant
1055 N 500 W STE 211
PROVO, UT 84604
Utah County (801) 357-7327
KYLE S GARCIA MD
Urology
1055 N 500 W STE 211
PROVO, UT 84604
Utah County (801) 357-7327

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 Breelyn Van Leeuwen's NPI number?

The NPI number for Breelyn Van Leeuwen is 1043640071. It was assigned to this individual provider in the NPPES registry on November 12, 2013.

Where is Breelyn Van Leeuwen located?

Breelyn Van Leeuwen practices at 1055 N 500 W Ste 211, Provo, UT 84604. The listed phone number is (801) 357-7327.

What is Breelyn Van Leeuwen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Breelyn Van Leeuwen was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.