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

Yes, under physician delegation and supervision Require 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

Require physician collaboration/supervision for injections

Supervision & the medical director

Required for medical spa operations

The exam requirement

Required; in-person preferred, telehealth conditional

What to verify in Maryland

Verify medical director credentials and ensure physician supervision protocols are documented in writing.

Primary source: Maryland Board of Physicians; 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 →

Stay ahead of the rules that change your business.

Regulatory shifts, FDA recalls, and the moves that matter — twice a week — with Inside MedSpa Pro.

Go Pro · $20/mo

By the time it's news, it's too late.

The rebate cut, the scope-of-practice bill, the competitor opening down the street — it hits your business before the trade press ever covers it. Pro gets you there first: what happened, why it touches your margins, and exactly what to do — at 6 AM, in two minutes.

Go Pro · $20/mo

Never be the last to know. Cancel anytime.