MEDICARE: ETNA MENTAL HEALTH GOKTEPE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1962351312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ETNA MENTAL HEALTH GOKTEPE PLLC

Provider Business Mailing Address
First Line	:	732 S 6TH ST # 4209
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 S 6TH ST # 89101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:	562-364-4100
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AUKSE GOKTEPE
Credential	:
Telephone Number	:	562-364-4100

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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