Aesthetic NP Practice Authority
Aesthetic Nurse Practitioner Scope of Practice in Washington
What an NP, PA, or RN entering aesthetic medicine in Washington needs to know — sourced from the AANP State Practice Environment + the Washington Board of Nursing.
Washington — Full Practice Authority
Can an NP own an aesthetic practice solo in Washington?
Yes. NPs may own and operate practice solo.
Collaborative agreement / physician relationship
No collaborative agreement required.
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 Washington
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
- AANP State Practice Environment — aanp.org/advocacy/state/state-practice-environment
- AANP State Practice Environment PDF — direct PDF
- Washington Board of Nursing (official) — doh.wa.gov/licenses-permits-and-certificates/professions-new-renew-or-update/nursing-commission