Breelyn J. Van Leeuwen, PA-C, MSPA
Physician Assistant · Provo, UT
UnclaimedPA-C, MSPANPI 1043640071
- Primary taxonomy
- 363A00000X
- Enumerated
- 2013-11-12
- Practice location
- Provo, UT
- Last NPPES update
- 2014-01-09
State licenses
- UT · Physician assistant · NPPES self-reportedListed on NPI record
“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.