Provider Demographics
NPI:1043023948
Name:MABINS, PEYTON MACKENZIE (RN)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:MACKENZIE
Last Name:MABINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:VA
Mailing Address - Zip Code:24558-2327
Mailing Address - Country:US
Mailing Address - Phone:434-222-9855
Mailing Address - Fax:
Practice Address - Street 1:105 VICAR PL
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1241
Practice Address - Country:US
Practice Address - Phone:434-272-8372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional