| Doctor Name: | MRS. SHEILA RABIDEAU |
| NPI Number: | 1053621250 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 298042 |
| Business Practice Address: | 220 Ballston Ave Ballston Spa, NY - 120203606 |
| Business Phone Number: | 5188847150 |
| Business Fax Number: | 5188847199 |
| Mailing Address: | 23 Silver Ln, BURNT HILLS |
| State: | NY |
| Postal Code: | 120279770 |
| Phone Number: | 5183995560 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2010 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 298042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |