IndividualActive
Agripina Medina Viserep
NPI 1134091424 · Doula · Wayne, NJ
Provider details
- NPI number
- 1134091424
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Lactation Consultant (Non-RN)174N00000X
Other Service Providers
Practice location
155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
Phone: (551) 204-8625
Approximate (ZIP-level) locationGet directions
Mailing address
245 Barkley Ave Apt 1
Clifton, NJ 07011-3137
Registry dates
- Enumerated
- 2025-09-18
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.