Individual
JOHANNA DELACROIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
Mailing address
3950 OLD SANTA FE TRL, SANTA FE, NM 87505-4538
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12145C
WY
208000000X
Pediatrics Physician
Primary
28446
NE
208000000X
Pediatrics Physician
83453
SC
208000000X
Pediatrics Physician
C1-0023869
DE
208000000X
Pediatrics Physician
MD18802
HI
208000000X
Pediatrics Physician
MD2017-0255
NM
208000000X
Pediatrics Physician
MD29627
ME
208000000X
Pediatrics Physician
MD42492
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200257463
UNITED HEALTHCARE
NY
Enumeration date
08/28/2009
Last updated
06/18/2025
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