Individual ProviderLaurel Morgan BurneyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 391-3129(571) 777-5147PECOS EnrollmentBased on the most recent information from CMS, provider Laurel Morgan Burney 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 ID1952668527Provider TypeIndividualFull NameBurney, Laurel MorganCredentialCRNA, DNAPGenderFemaleSole ProprietorNoEnumeration Date4/19/2012Last Updated11/5/2015Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 391-3129Fax(703) 391-3006Mailing LocationMailing Address11781 Lee Jackson Memorial Hwy, Suite 550, Fairfax, VA 22033-3309Phone(571) 777-5147Fax(703) 890-2650Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024169895VirginiaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAC001262MarylandProvider IdentifiersIDDescriptionIssuerID1952668527DescriptionMedicaidIssuerUnlistedVirginia