Healthcare Provider Details

I. General information

NPI: 1093645764
Provider Name (Legal Business Name): NORTHERN FRONTIER HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

886 MUSTANG LANE
LIBBY MT
59923
US

IV. Provider business mailing address

PO BOX 100
LIBBY MT
59923-0100
US

V. Phone/Fax

Practice location:
  • Phone: 406-299-4905
  • Fax: 406-299-4906
Mailing address:
  • Phone: 406-299-4905
  • Fax: 406-299-4906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MONICA DUERST
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 406-299-4905