Healthcare Provider Details

I. General information

NPI: 1174305767
Provider Name (Legal Business Name): ALINA GABRIELA HANAK PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PINE ST
RAPID CITY SD
57701-1669
US

IV. Provider business mailing address

350 PINE ST
RAPID CITY SD
57701-1669
US

V. Phone/Fax

Practice location:
  • Phone: 605-721-8939
  • Fax: 605-721-8998
Mailing address:
  • Phone: 605-721-8939
  • Fax: 605-721-8998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023153062
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: