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

Yes, under physician delegation and supervision; scope varies by board interpretation Require physician collaboration/supervision for injections

Michigan · Moderate

Can RNs and Nurse Practitioners Inject Botox in Michigan?

Nurses do most of the injecting in this industry — but Michigan 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; scope varies by board interpretation

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 Michigan

Verify with the Michigan Department of Licensing and Regulatory Affairs (LARA) that your medical director's supervision protocols comply with current board guidance on RN/NP delegation.

Primary source: Michigan Department of Licensing and Regulatory Affairs (LARA); Board of Medicine; Board of Nursing

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

See the full Michigan regulation profile →

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