Healthcare Provider Details

I. General information

NPI: 1083557391
Provider Name (Legal Business Name): LINDSEY ALEXANDRA HANKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 1ST AVE NE STE 310
MINNEAPOLIS MN
55413-2419
US

IV. Provider business mailing address

615 1ST AVE NE STE 310
MINNEAPOLIS MN
55413-2419
US

V. Phone/Fax

Practice location:
  • Phone: 612-436-0295
  • Fax: 612-436-0163
Mailing address:
  • Phone: 612-436-0295
  • Fax: 612-436-0163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number14522
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2495753
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: