Open a Medspa — 50-State Guide

How to open a medspa as a nurse practitioner — every state.

The legal, structural, and market path for an NP-owned aesthetic practice in your state. Built from state-board guidance + the 27-year, three-practice playbook of Faisal Darwiche, NP.

Full Practice (27 states + DC)

NP solo ownership is the cleanest path. No career-long collaborating physician.

Reduced Practice (12 states)

Collaborating physician required. MSO/PC structure is the standard path.

Restricted Practice (10 states)

Physician supervision required. MSO/PC structure is the only viable path for NP ownership.

Pick your state