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

Mackenzie Renae Johnson

Individual provider Surgical Technologist · NPI 1043441066

Mackenzie Renae Johnson is a Surgical Technologist in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
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Practice location Address checks out

1809 Thistle Rd
Flagstaff, AZ 86004-7790
Phone: (928) 856-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 120200 (AZ)

Record details

NPI number1043441066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2009
Last updated in NPPESJune 10, 2010
Mailing address1809 Thistle Rd, Flagstaff, AZ 86004-7790

Other providers in Flagstaff