Individual ProviderMaria Lucille FainNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 391-3129(571) 777-5164PECOS EnrollmentBased on the most recent information from CMS, provider Maria Lucille Fain 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 ID1407854250Provider TypeIndividualFull NameFain, Maria LucilleCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date7/14/2005Last Updated7/1/2019Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 391-3129FaxUnlisted FaxMailing LocationMailing Address11781 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3309Phone(571) 777-5164FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN67020District of ColumbiaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0021467208Virginia