Healthcare Provider Details

I. General information

NPI: 1700744059
Provider Name (Legal Business Name): MARIOLANDE 'MARA' ADONIS-NEPTUNE DNP, ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARA ADONIS-NEPTUNE DNP, ARNP, FNP-BC

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 NW MYHRE RD
SILVERDALE WA
98383-7663
US

IV. Provider business mailing address

1800 NW MYHRE RD
SILVERDALE WA
98383-7663
US

V. Phone/Fax

Practice location:
  • Phone: 574-240-5800
  • Fax:
Mailing address:
  • Phone: 574-240-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number70174310
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: