Healthcare Provider Details

I. General information

NPI: 1730059130
Provider Name (Legal Business Name): LISA TREXLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COPPERLINE DR APT U
CHAPEL HILL NC
27516-0412
US

IV. Provider business mailing address

101 COPPERLINE DR APT U
CHAPEL HILL NC
27516-0412
US

V. Phone/Fax

Practice location:
  • Phone: 513-260-0762
  • Fax:
Mailing address:
  • Phone: 513-260-0762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number260902
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: