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

Agripina Medina Viserep

Individual provider Lactation Consultant (Non-RN) · NPI 1134091424

Agripina Medina Viserep is a Lactation Consultant (Non-RN) in Wayne, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
Phone: (551) 204-8625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X (NJ)
Lactation Consultant (Non-RN) Taxonomy 174N00000X (NJ)

Record details

NPI number1134091424
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

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