Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie L Materniak, NP

Individual provider Nurse Practitioner · NPI 1568921641

Carrie L Materniak, NP is a Nurse Practitioner in Green Bay, Wisconsin. Works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8250
Fax: (920) 288-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 — (612) 262-9000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9138 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9138 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11429 (MN)

Record details

NPI number1568921641
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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