Provider Demographics
NPI:1386537827
Name:SIENNA MATERNITY & EARLY LIFE WELLNESS CARE
Entity type:Organization
Organization Name:SIENNA MATERNITY & EARLY LIFE WELLNESS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-771-5220
Mailing Address - Street 1:4800 WATTS PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5552
Mailing Address - Country:US
Mailing Address - Phone:832-771-5220
Mailing Address - Fax:
Practice Address - Street 1:4800 WATTS PLANTATION DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5552
Practice Address - Country:US
Practice Address - Phone:832-771-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1447841275Medicaid