Can registered nurses and nurse practitioners inject Botox and fillers in Maryland?

Yes, under physician delegation and supervision NP/PA may inject under physician collaboration; independent practice limited

Maryland · Moderate

Can RNs and Nurse Practitioners Inject Botox in Maryland?

Nurses do most of the injecting in this industry — but Maryland draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under physician delegation and supervision

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice limited

Supervision & the medical director

Required for RN/LPN injectors; physician supervision mandatory

The exam requirement

Required; in-person or telehealth permitted

What to verify in Maryland

Establish clear physician delegation protocols and ensure medical director oversight for all injector staff.

Primary source: Maryland Medical Board; Board of Nursing

General business information for Maryland medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Maryland board (and your own counsel) before you act.

See the full Maryland regulation profile →

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