Provider Demographics
NPI:1629368469
Name:DUDE, ANN MELISSA (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MELISSA
Last Name:DUDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 OLD CLINIC BUILDING CAMPUS BOX 7570
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:312-498-5852
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR BLDG 1
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4423
Practice Address - Country:US
Practice Address - Phone:984-974-2131
Practice Address - Fax:984-974-9023
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-02103207VM0101X
IL036137875207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics