# MOSAIC INTEGRATIVE WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184555260
- **Authorized official:** PENNY WORTMAN DNP, CNM (OWNER)
- **Authorized official phone:** (207) 751-0074

## Contact information

- **Practice address:** 16 MONUMENT PL, TOPSHAM, ME 04086-1253
- **Practice address phone:** (207) 200-7101
- **Practice address fax:** (720) 915-4083
- **Mailing address:** 150 SPRING DR, BOWDOIN, ME 04287-7052
- **Mailing address phone:** (207) 200-7101
- **Mailing address fax:** (720) 915-4083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 05/27/2026
