Provider Demographics
NPI:1174806046
Name:PAYETTE, DONALD LAURIER JR (RN, MSN, NP)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:LAURIER
Last Name:PAYETTE
Suffix:JR
Gender:M
Credentials:RN, MSN, NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7000 BEE CAVES RD STE 325
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5009
Mailing Address - Country:US
Mailing Address - Phone:512-684-9909
Mailing Address - Fax:
Practice Address - Street 1:7000 BEE CAVES RD STE 325
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5009
Practice Address - Country:US
Practice Address - Phone:512-684-9909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056979363LP0808X
MARN2281587363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health