Individual provider · NPI-1

Marilyn A. Becker, NP

Nurse Practitioner, Family · Shawnee, OK

NPI number1811932601

StatusActive

Last updated in NPPESAug 18, 2026

Details

NPI: 1811932601
Entity type: Individual (NPI-1)
Name: Marilyn A. Becker
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Jun 17, 2006
Certification date: Aug 18, 2026
Last updated: Aug 18, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	R0073894	OK	Yes
363LF0000X	Nurse Practitioner, Family	APRN.CNP.0038649	OH

Other names

Marilyn Ann Mcdermott And Smith (Former Name)

Practice location

1900 Gordon Cooper Drive
Shawnee, OK 74801

Phone 405-878-7160

Mailing address

504 Pool Lane
Shawnee, OK 74801

Phone 405-878-7160

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.