Medical Spa Laws in Nevada
Nevada operates under a moderate regulatory framework that permits non-physician ownership of medical spas provided a licensed physician serves as medical director. RNs may inject neurotoxins and fillers under physician supervision and delegation, making Nevada relatively accessible for multi-disciplinary teams. The key requirement is a clear supervisory relationship and documented protocols; telehealth initial exams are not permitted for aesthetic procedures.
Common questions about Nevada med-spa law
Free, in depth, one page each.
- Who can inject
- MD, DO, NP, PA, RN under physician supervision
- Can RNs inject?
- Yes, under physician delegation and supervision
- NP / PA authority
- NP/PA may inject under physician collaboration; independent practice varies by setting
- Medical director
- Required for medical spas; must be on-site or available for consultation
- Good-faith exam
- Required; in-person exam generally required before treatment
- Telehealth exam
- Not allowed for initial aesthetic treatment; in-person exam required
- Corporate Practice of Medicine
- Lenient; MSO/non-physician ownership permitted with physician medical director
- Who can own a medspa
- Non-physicians may own via MSO structure with physician medical director
- Injector training
- No state-mandated injector training beyond licensure; facility protocols may require additional certification
- Regulating board
- Nevada State Board of Medical Examiners
- Recent regulatory activity
- Nevada Board of Medical Examiners continues to clarify delegation rules for RN injectors; no major 2024-2026 bill tracked
Do this in Nevada
Retain a Nevada-licensed physician as medical director and document all delegation protocols in writing.
Nevada medical spa FAQs
Can an RN own and operate a medical spa in Nevada?
No, an RN cannot own a medical spa independently. However, an RN may own a medical spa through an MSO structure if a licensed Nevada physician serves as the medical director and supervises all aesthetic procedures.
Can an RN inject Botox and fillers in Nevada?
Yes, an RN may inject neurotoxins and fillers under the delegation and direct supervision of a Nevada-licensed physician. The physician must document the delegation and maintain oversight of the RN's work.
Is a telehealth initial consultation allowed before starting aesthetic treatments in Nevada?
No, Nevada requires an in-person good-faith exam before initiating aesthetic treatments. Telehealth is not permitted for the initial aesthetic evaluation.
Go deeper
Stay ahead of every Nevada rule change.
Boards and legislatures move without warning. Inside MedSpa Pro flags the moment something in Nevada changes that touches your license — and tells you exactly what to do. The owners who read it never get blindsided.
Get the edge · $20/mo