Can registered nurses and nurse practitioners inject Botox and fillers in New Hampshire?

Yes, under physician delegation; scope varies by delegation agreement NP/PA may practice with physician collaboration; independent practice limited

New Hampshire · Moderate

Can RNs and Nurse Practitioners Inject Botox in New Hampshire?

Nurses do most of the injecting in this industry — but New Hampshire 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; scope varies by delegation agreement

Nurse practitioners & physician assistants

NP/PA may practice with physician collaboration; independent practice limited

Supervision & the medical director

Required for medical spa facilities; physician must oversee delegated procedures

The exam requirement

Required; in-person exam expected before treatment

What to verify in New Hampshire

Establish a clear delegation agreement with a supervising physician and document all protocols before opening.

Primary source: New Hampshire Board of Medicine

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

See the full New Hampshire regulation profile →

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