Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breelyn Jan Van Leeuwen, PA-C, MSPA

Individual provider Physician Assistant · NPI 1043640071

Breelyn Jan Van Leeuwen, PA-C, MSPA is a Physician Assistant in Provo, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Ste 211
Provo, UT 84604-3305
Phone: (801) 357-7327
Fax: (801) 375-8860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8808600-1206 (UT)

Record details

NPI number1043640071
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MSPA
Sole proprietorNo
NPI enumeratedNovember 12, 2013
Last updated in NPPESJanuary 9, 2014

Other providers in Provo