Individual ProviderEmilie Vanderslice ProutPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Lothrop St, Pittsburgh, PA 15213-2536(412) 647-7653PECOS EnrollmentBased on the most recent information from CMS, provider Emilie Vanderslice Prout 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 5 days ago.Profile DetailsProvider ID1972896843Provider TypeIndividualFull NameProut, Emilie VandersliceCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date5/25/2011Last Updated1/27/2016Contact InformationPractice LocationPractice Address200 Lothrop St, Pittsburgh, PA 15213-2536Phone(412) 647-7653FaxUnlisted FaxMailing LocationMailing Address200 Lothrop St, Pittsburgh, PA 15213-2536Phone(412) 647-7653FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601005977Michigan