Aesthetic NP Practice Authority

Aesthetic Nurse Practitioner Scope of Practice in Maryland

What an NP, PA, or RN entering aesthetic medicine in Maryland needs to know — sourced from the AANP State Practice Environment + the Maryland Board of Nursing.

MarylandFull Practice Authority

Can an NP own an aesthetic practice solo in Maryland?

Yes. NPs may own a solo practice. CPOM (corporate practice of medicine) doctrine does NOT apply to NP-owned practices.

Collaborative agreement / physician relationship

Attestation of collaboration required during first 18 months post-licensure, then independent.

Good-faith exam (GFE) rules — aesthetic context

A good-faith exam by a licensed prescriber (NP/MD/DO) is required before initial aesthetic medication administration. Telehealth GFE is permitted in most states subject to state-specific rules.

RN injection scope in Maryland

RNs may inject aesthetic medications (botulinum toxin, dermal fillers, fat-dissolving) under a valid prescriber order and approved protocol. Only PRESCRIBING requires a licensed NP/MD/DO. Verify with your board.

Sources

After you've read your state — take the 17-question assessment.

Free. 7 minutes. Returns a state-specific 90-day roadmap to opening your own aesthetic practice. Built by Faisal Darwiche, NP — 27 years, three practices, the Aesthetic Show faculty. The plan I'd hand my younger self.

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Educational Use Only. This page is general guidance and is not legal, financial, tax, or medical advice. Verify scope of practice with the Maryland Board of Nursing and your own licensed counsel before opening or operating a practice. Online training is not a substitute for hands-on clinical certification.

Verified: AANP State Practice Environment (Updated: 05/2026) + Maryland Board of Nursing public guidance, as of 2026-05-12. State statuses change; reconfirm at AANP before relying on this content.

Read the full 50-state matrix at /scope-of-practice.