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

Yes, under physician delegation and supervision Requires physician collaboration/supervision for injections

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

Requires physician collaboration/supervision for injections

Supervision & the medical director

Recommended; not universally mandated but expected for liability and compliance

The exam requirement

Required; in-person preferred, telehealth varies by board interpretation

What to verify in Maryland

Verify with Maryland Board of Physicians whether your proposed ownership/delegation model complies with current guidance on RN and NP/PA scope.

Primary source: Maryland Board of Physicians

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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