Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatyana Ygnacia Carlson, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1700560471

Tatyana Ygnacia Carlson, IDMT is an Independent Duty Medical Technicians in Moody AFB, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

710 Vanguard Way
Moody AFB, GA 31699-8704
Phone: (229) 257-2778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1700560471
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDMT
Sole proprietorNo
NPI enumeratedJune 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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