Healthcare Provider Details

I. General information

NPI: 1942137369
Provider Name (Legal Business Name): AIDA MARLENE BESONG FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 QUADRANGLE DR
CHAPEL HILL NC
27517-8279
US

IV. Provider business mailing address

6330 QUADRANGLE DR
CHAPEL HILL NC
27517-8279
US

V. Phone/Fax

Practice location:
  • Phone: 888-849-7379
  • Fax:
Mailing address:
  • Phone: 497-379-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024441
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: