MEDICARE: STEPHANIE MARIE RICHARDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	2026003683	MO

General Provider Information

NPI Number	:	1427916303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MARIE RICHARDS PA

Provider Business Mailing Address
First Line	:	300 N MORLEY ST
Second Line	:
City	:	MOBERLY
State	:	MO
Zip	:	65270-2334
Country	:	US
Telephone Number	:	660-263-1225
Fax Number	:	660-263-0066

Provider Business Practice Location Address
First Line	:	300 N MORLEY ST
Second Line	:
City	:	MOBERLY
State	:	MO
Zip	:	65270-2334
Country	:	US
Telephone Number	:	660-263-1225
Fax Number	:	660-263-0066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	04/09/2026

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Directions to “ STEPHANIE MARIE RICHARDS PA” Practice Location

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