Provider Demographics
NPI:1992685242
Name:JANULIS-EVANS, ELLEN M (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:M
Last Name:JANULIS-EVANS
Suffix:
Gender:F
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:MARKLEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46056-9773
Mailing Address - Country:US
Mailing Address - Phone:954-478-2011
Mailing Address - Fax:
Practice Address - Street 1:2306 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:MARKLEVILLE
Practice Address - State:IN
Practice Address - Zip Code:46056-9773
Practice Address - Country:US
Practice Address - Phone:954-478-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN7008-65493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport