Individual ProviderPrevitha Sanna MathewsNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 391-3600PECOS EnrollmentBased on the most recent information from CMS, provider Previtha Sanna Mathews does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1134633597Provider TypeIndividualFull NameMathews, Previtha SannaGenderFemaleSole ProprietorYesEnumeration Date11/21/2017Last Updated11/6/2019Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 391-3600FaxUnlisted FaxMailing LocationMailing Address7851 Wintercress Ln, Springfield, VA 22152-3843PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024175885VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense1271698Virginia