Naomi Fayzulayev, FNP-C doesn’t just sign off — she builds the protocols, trains the staff, and stays engaged. As an active clinician running her own practice in Phoenix, she provides the kind of medical directorship that holds up when it matters.
Botox (foundational & advanced), filler, masseter reduction, hyperhidrosis, Nefertiti lift, PRP facial, microneedling — standing orders, advanced consent protocols, complication management guidelines
Full IV menu protocol development including NAD+, high-dose vitamin C, ozone, and custom drip formulations
BHRT, TRT, peptide, and weight management protocol oversight with lab interpretation frameworks
O-Shot, P-Shot, and sexual wellness protocol directorship for NPs, PAs, and RN-supervised practices
PRP orthopedics, trigger point, and hair restoration directorship with written procedure protocols
Opening or operating a drip bar, IV therapy lounge, or mobile infusion service in Arizona. Naomi develops your full protocol library — every drip, every screening form, every emergency response plan.
Botox and filler clinics, advanced injectable practices offering masseter reduction, hyperhidrosis, and lower face neurotoxins, and medical-grade skincare suites operating under RN or NP licensure that require active medical director oversight per Arizona regulations.
BHRT, TRT, peptide, and integrative wellness practices that prescribe controlled substances or compounded medications and require a licensed prescriber as clinical director.
Practices offering O-Shot, P-Shot, GAINSWave, or related sexual wellness treatments that require protocol development, consent oversight, and clinical directorship.
Providers opening their first clinic who need medical director setup from day one — protocols written before you see your first patient, not scrambled together after.
PRP orthopedics, trigger point injection, and non-surgical hair restoration practices operating under RN supervision or seeking independent NP clinical directorship.
In Arizona's medspa and wellness clinic market, medical directorship is often treated as a checkbox — a licensed name on a document that satisfies a regulatory requirement without changing how the practice operates day to day. That approach is both legally insufficient and clinically dangerous, and it's increasingly being scrutinized by the Arizona Board of Nursing and the Arizona Medical Board.
A compliant, defensible medical directorship is not a signature arrangement. It is a structured clinical relationship in which a licensed provider takes documented responsibility for the clinical protocols, standing orders, scope-of-practice alignment, and emergency preparedness of the practice. When a patient has an adverse event, the first things an investigator examines are the written standing orders, the emergency response protocol, the consent documentation, and whether those documents were current and signed by an active, qualified medical director. If those documents don’t exist or weren’t created by someone with actual clinical authority over the services being offered, the practice — and every provider working in it — is exposed.
Arizona is a full practice authority state, which means board-certified nurse practitioners hold independent prescriptive authority and may legally serve as Medical Director without a physician’s co-signature or collaboration agreement. This matters because it means an actively practicing FNP-C like Naomi Fayzulayev can provide genuine, legally sufficient medical directorship — not a workaround, not a gray area, but full directorial authority under Arizona law.
What separates a strong directorship from a passive one is active clinical engagement. Naomi operates Beso Wellness & Beauty as a full-service medspa in Phoenix, administering the same services she writes protocols for — injectables, IV therapy, hormone optimization, sexual wellness procedures, and PRP. She isn’t reviewing your standing orders as a theoretical exercise; she is writing them based on protocols she actually uses with patients. That clinical currency is what makes her oversight defensible, up-to-date, and practically useful when questions come up mid-treatment.
For practices in Arizona — whether in Scottsdale, Mesa, Tempe, Chandler, Peoria, or anywhere in the Phoenix metro — the difference between a compliant directorship and a passive one can mean the difference between a clean inspection and a license investigation, or between a defensible chart and a malpractice exposure. The investment in real oversight pays for itself the first time something unexpected happens in your treatment room.
A complete guide to full practice authority law, what a compliant directorship requires, and what to look for when evaluating a medical director for your practice.
Read the Guide →What makes lower face neurotoxins clinically distinct, how to evaluate readiness for advanced technique, and what a quality advanced course must include — including the compliance considerations that change when your service menu expands to masseter, hyperhidrosis, and off-label applications.
Read the Guide →Medspas, IV lounges, hormone clinics, and sexual wellness practices in Arizona that operate under RN or non-physician NP supervision must have a licensed medical director with active prescriptive authority over the services offered. That director must have signed, current standing orders and emergency protocols on file — not generic templates, but documents specific to each service line.
A compliant directorship file includes individualized standing orders for every offered service, written emergency response protocols for each service-specific adverse event, patient screening and intake frameworks, consent documentation with director review, and records of ongoing chart review. These must be current, signed, and specific to your practice — not borrowed from another clinic or generated by AI.
A medical director who signs an agreement but never reviews charts, never updates standing orders, and isn’t reachable for clinical questions isn’t providing directorship — they’re providing a name. If that arrangement is examined after a patient complaint or adverse event, the practice owner bears full liability for operating without real clinical oversight, regardless of what the contract says.
Intravenous therapy carries a materially higher risk profile than most aesthetic services. Anaphylaxis, air embolism, phlebitis, and fluid overload are real adverse events that require immediately available written emergency protocols and a clinically qualified director who has personally developed those protocols. A medical director who has never administered IV therapy should not be signing off on your IV menu.
Every Beso medical directorship engagement is active, not passive. Naomi builds the clinical infrastructure your practice needs to operate safely, pass inspections, and scale — then stays engaged on an ongoing basis so it never goes stale.
Individualized to your specific service menu — not generic templates that require physician co-signature.
Contraindication screening tools, medical history intake design, and allergy assessment frameworks for each service line.
Clinical review and directorial signature on all patient-facing consent documentation.
Written emergency procedures for anaphylaxis, vasovagal response, vascular occlusion, air embolism, and other service-specific adverse events — with kit requirements and staff drill guidance.
Service-specific complication flowcharts: what to do first, when to escalate, when to send to ED.
Written specification of required emergency medications and equipment for each service line, matched to Arizona regulations.
Scheduled review of a sample of patient charts with written feedback and corrective action documentation where needed.
When you add a new service or change vendors, Naomi updates the directorship documentation to match — included in active engagements.
Direct access to Naomi for urgent clinical questions that arise during patient care — response commitment defined in your engagement agreement.
Guidance on onboarding new clinical staff, reviewing credentials, and ensuring team competency for offered services.
Every standing order and protocol is written within Arizona NP scope — no gray areas that create compliance risk.
Your directorship file is structured to satisfy Arizona state board requirements and survive an inspection without scrambling.
Naomi works with new clinics before they open to build the complete directorship infrastructure — standing orders, emergency protocols, and consent forms — so you see your first patient with everything already in place.
Inquire About Launch Setup →If your current medical director hasn’t reviewed your charts, updated your standing orders, or written your emergency protocols — that’s a liability, not a service. Naomi can transition your directorship without interrupting operations.
Book a Discovery Call →Most physicians who sign as medical directors for IV lounges have never personally administered a Myers cocktail, designed a NAD+ protocol, or written an anaphylaxis response procedure for an infusion suite. Naomi has. She runs IV therapy at Beso every week, which means her IV directorship is built on active clinical experience — not theory or recycled templates.
Myers cocktail, immune boost, hydration, recovery, beauty, and energy formulations — each with dosing rationale, infusion rate guidelines, and contraindication screening.
Written protocols covering starting dose, titration rate, administration time, monitoring requirements, and management of common side effects (flushing, chest tightness, nausea).
Osmolality calculations, G6PD screening requirement, infusion rate by dose level, and post-infusion monitoring guidelines.
Major autohemotherapy (MAH) and ozone infusion protocols including absolute contraindication screening, dose calibration, and session frequency guidelines.
Protocol development for proprietary or specialty formulations beyond the standard menu — including amino acid IVs, glutathione push protocols, and phosphatidylcholine infusions.
IV-specific contraindication screening forms covering cardiac history, renal function, G6PD deficiency, pregnancy, and medication interactions for each drip type.
Anaphylaxis response protocol with epinephrine dosing and 911 escalation criteria. Air embolism recognition and positioning protocol. Phlebitis and extravasation management. Vasovagal response procedure. Emergency kit specification with required medications, quantities, and expiration management. Staff drill framework. Every infusion suite Naomi directs has this on the wall before the first patient.
When a medspa expands beyond standard upper face Botox into lower face neurotoxins, masseter reduction, Nefertiti lift, or hyperhidrosis treatment, the scope of the medical director relationship needs to expand with it. Standing orders written for a basic neuromodulator menu don’t cover advanced indications — they create protocol gaps that expose both the practice and the director.
Naomi performs advanced neurotoxin treatments at Beso Wellness & Beauty every week. Masseter reduction, DAO correction, platysmal band treatment, and hyperhidrosis protocols are part of her active clinical practice — which means the standing orders she writes for your advanced injectable menu are grounded in real clinical experience, not adapted from a template that was written for a more limited scope.
Injectable oversight for aesthetic practices requires a director who injects. The complication management guidelines, the emergency response protocols for vascular events, and the consent documentation for off-label applications all require clinical judgment that comes from doing the work — not from reviewing it at arm’s length.
If your practice offers — or is expanding into — lower face neurotoxins, masseter reduction, or hyperhidrosis, Beso’s Advanced Botox training course covers the clinical technique and protocol framework that supports a properly directed advanced injectable service line.
View Advanced Botox Course →Written standing orders for glabella, frontalis, crow’s feet, and HA filler indications — with dosing parameters, contraindication screening, and complication management guidelines appropriate to each technique.
Individualized standing orders for advanced neurotoxin services — DAO, mentalis, lip flip, masseter reduction, platysmal band treatment, gummy smile correction, and axillary hyperhidrosis. Each protocol includes indication criteria, dosing ranges, and complication-specific response guidelines.
Injectable-specific emergency protocols covering vascular occlusion (including hyaluronidase protocol and dosing), skin necrosis recognition and response, anaphylaxis management with epinephrine dosing, and escalation criteria for each complication type. Emergency kit specification included.
Clinical review and directorial signature on consent documentation for advanced and off-label neurotoxin applications — including treatments where the indication is not FDA-approved but is supported by clinical evidence and standard of practice guidance.
All models include the full protocol and documentation buildout. The difference is how ongoing oversight is structured once the clinical foundation is in place.
Protocol and documentation buildout without ongoing monthly directorship. Ideal for practices that have a compliant director but need the infrastructure built properly.
Ongoing directorship with monthly chart review, protocol maintenance, emergency consultation access, and regular availability for clinical questions.
Day-rate directorship for practices that operate on a limited schedule or need coverage for specific procedure days rather than full-time oversight.
Complete new clinic setup with directorship active from day one — protocols built before you open, first 90 days of oversight included.
Want consulting bundled in too? See the Done-For-You Practice Launch Package — one contract covering both.
Inquire →These are the questions we hear most often. If yours isn’t here, bring it to the call — we’ll answer it directly.
Book a Discovery Call →Every engagement starts with a free discovery call to understand your practice, your services, and your timeline. We’ll confirm eligibility and send a written proposal within 48 hours.