Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Polistico Cooper

Individual provider Registered Nurse · NPI 1174263867

Stephanie Polistico Cooper is a Registered Nurse in Salem, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

203 N Grand St
Salem, MO 65560-1344
Phone: (573) 729-4103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2021049377 (MO)

Record details

NPI number1174263867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address5 N Water St, Salem, MO 65560-1425

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