No No Izin Tercetak Tanggal
Penetapan Nama Alamat Pemohon Lokasi Praktik Jenis Izin
1 503-38.6/001/SIPP-
I/DPMPPTSP/2019 08-Jan-19 I NYOMAN WISANA BANJAR DINAS DANGIN MARGI, DS.
BULIAN, KEC. KUBUTAMBAHAN PUSKESMAS KUBUTAMBAHAN I Surat Izin Praktek Perawat 2 503-38.6/002/SIPP-
I/DPMPPTSP/2019 17-Jan-19 NI PUTU SUGIARINI JL. GAJAH MADA GG I NO. 3, KEL. ASTINA, KEC. BULELENG
RSU KERTHA USADA, JL. VENDRAWASIH NO. 5-7 SINGARAJA
Surat Izin Praktek Perawat 3 503-38.6/003/SIPP-
I/DPMPPTSP/2019 17-Jan-19 NYOMAN TRIYANTI AGUSTHINI
JL. JEND. SUDIRMAN GG. 6, KEL.
BANYUASRI, KEC. BULELENG RSU. KERTHA USADA Surat Izin Praktek Perawat 4 503-38.6/004/SIPP-
I/DPMPPTSP/2019 17-Jan-19 I DEWA GEDE AGUS ARDANA PUTRA
JL. P. BALI GG. II NO. 48 SEKARSARI, KEL.
KAMPUNG BARU, KEC. BULELENG RSU KERTHA USADA Surat Izin Praktek Perawat 5 503-38.6/005/SIPP-
I/DPMPPTSP/2019 17-Jan-19 PUTU EKA WELMI MARIANI
BD. DALEM, DS. JINENGDALEM, KEC.
BULELENG RSU. KERTHA USADA Surat Izin Praktek
Perawat 6 503-38.6/006/SIPP-
1/DPMPPTSP/2019 17-Jan-19 NI KETUT OTTI MARIANTI
BD. KAWANAN, DS. BONTIHING, KEC.
KUBUTAMBAHAN RSU. KERTHA USADA Surat Izin Praktek
Perawat
7 503-38.6/007/SIPP-
1/DPMPPTSP/2019 17-Jan-19 DESAK MADE WULANDARI
JL. AJAH MADA/PENATARAN, GG. 7 NO. 5 SINGARAJA, KEL. KENDRAN, KEC. BULELENG
RSU KERTHA USADA, JL. VENDRAWASIH NO. 5-7 SINGARAJA
Surat Izin Praktek Perawat
8 503-38.6/008/SIPP-
1/DPMPPTSP/2019 17-Jan-19 PUTU EKA ROSIANI BD. BANYUALIT, DS. KALIBUKBUK, KEC.
BULELENG
RSU KERTHA USADA, JL. VENDRAWASIH NO. 5-7 SINGARAJA
Surat Izin Praktek Perawat 9 503-38.6/009/SIPP-
1/DPMPPTSP/2019 17-Jan-19 EM ENDANG LESTARI JL. WR. SUPRATMAN, GERYA AGUNG CITY BLOK A/I, KEL. PENARUKAN
RSU KERTHA USADA, JL. VENDRAWASIH NO. 5-7 SINGARAJA
Surat Izin Praktek Perawat 10 503-38.6/010/SIPP-
1/DPMPPTSP/2019 17-Jan-19 NOVITA ANGGRAINI JL. SRIKANDI GG. DURIAN SINGARAJA RSU KERTHA USADA, JL. CENDRAWASIH NO. 5-7 SINGARAJA
Surat Izin Praktek Perawat 11 503-38.6/011/SIPP-
1/DPMPPTSP/2019 17-Jan-19 I WAYAN PUTRA YASA JL. P. OBI, GG. KRESNA, LINGK. BANYUNING TIMUR, KEL. BANYUNING
RSU KERTHA USADA, JL. VENDRAWASIH NO. 5-7 SINGARAJA
Surat Izin Praktek Perawat 12 503-38.6/012/SIPP-
1/DPMPPTSP/2019 21-Jan-19 PUTU TRISMA PRATAMA DEWI
BD. DANGIN MARGI, DS. PEMARON, KEC.
BULELENG RSU. KERTHA USADA Surat Izin Praktek
Perawat
13 503-38.6/013/SIPP-
1/DPMPPTSP/2019 21-Jan-19 PANDE MADE SWASTINI
JL. SERMA KARMA, LC. 8 TOYA ANAKAN IV NO. 7. DS. BAKISERAGA, KEC. BULELENG
RSU KERTHA USADA, JL. CENDRAWASIH NO.5-7 SINGARAJA
Surat Izin Praktek Perawat
14 503-38.6/014/SIPP-
1/DPMPPTSP/2019 21-Jan-19 MUHAMMAD HABIBULLAH
JL. CENDRAASI NO. 3 SINGARAJA, KEL.
KALIUNTU, KEC. BULELENG
RSU KERTHA USADA, JL. CENDRAWASIH NO.5-7 SINGARAJA
Surat Izin Praktek Perawat 15 503-38.6/015/SIPP-
1/DPMPPTSP/2019 21-Jan-19 DELVIA RESTIATRI, A.md Kep
BD. TEGALLINGGAH, DS. TEGALLINGGAH, KEC. SUKASADA
RSU KERTHA USADA, JL. CENDRAWASIH NO.5-7 SINGARAJA
Surat Izin Praktek Perawat 16 503-38.6/016/SIPP-
1/DPMPPTSP/2019 21-Jan-19 KOMANG SUSRIYANTI BD. BANTAS, DS. SUDAJI, KEC. SAWAN RSU. KERTHA USADA Surat Izin Praktek Perawat SIP Perawat yang Terbit di Tahun 2019
17 503-38.6/017/SIPP-
1/DPMPPTSP/2019 21-Jan-19 KETUT WISNU WARDHANI
GG. BINA PUTRA NO. 7, BD. SERAYA, DS.
BAKTISERAGA, KEC. BULELENG RSU. KERTHA USADA Surat Izin Praktek Perawat 18 503-38.6/018/SIPP-
1/DPMPPTSP/2019 21-Jan-19 I MADE BINGIN JL. SRIKANDI GG. KEPUNDUNG BLOK A/1,
DS. BAKTISERAGA, KEC. BULELENG RSU. KERTHA USADA Surat Izin Praktek Perawat 19 503-38.6/019/SIPP-
1/DPMPPTSP/2019 21-Jan-19 SANG AYU MADE
DWIYANTINI KELURAHAN LILIGUNDI, KEC. BULELENG RSU. KERTHA USADA Surat Izin Praktek Perawat 20 503-38.6/020/SIPP-
I/DPMPPTSP/2019 25-Jan-19 GUSTI KETUT YENI CINTIANI
JL. LAKSAMANA NO.84 SINGARAJA, DS.
BAKTISERAGA, KEC. BULELENG RSUD KAB. BULELENG Surat Izin Praktek Perawat
21 503-38.6/021/SIPP-
I/DPMPPTSP/2019 25-Jan-19 NI MADE SUPRIYANI BD. KAJEKANGIN, DS. KUBUTAMBAHAN,
KEC. KUBUTAMBAHAN RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat
22 503-38.6/022/SIPP-
I/DPMPPTSP/2019 25-Jan-19 NI SAGUNG PUTU ASTITI
BD. DANGIN PURA, DS. PANJI, KEC.
SUKASADA RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat 23 503-38.6/023/SIPP-
I/DPMPPTSP/2019 25-Jan-19 NI CENING RESIADNYANI
BD. BALE AGUNG, DS. KEROBOKAN, KEC.
SAWAN RSUD KABUPATEN BULELENG Surat Izin Praktek
Perawat 24 503-38.6/024/SIPP-
I/DPMPPTSP/2019 25-Jan-19 GUSTI AYU NYOMAN
RIMBAWATI BD. KANGINAN, DS. MENYALI, KEC. SAWAN RSUD KAB. BULELENG Surat Izin Praktek Perawat
25 503-38.6/025/SIPP-
I/DPMPPTSP/2019 25-Jan-19 KADEK KUSMIRA JAYANTI
JL. P. KOMODO GG. ADITYA BLOK A, LINGK.
BANY, KEL. BANYUNING, KEC. BULELENG RSUD KAB. BULELENG Surat Izin Praktek Perawat
26 503-38.6/026/SIPP-
I/DPMPPTSP/2019 25-Jan-19 LUH PUTU SRI WAHYUNI
JL. P. IRIAN, DSN KAJANAN, DS.
PENGLATAN, KEC. BULELENG RSUD KAB. BULELENG Surat Izin Praktek Perawat 27 503-38.6/027/SIPP-
I/DPMPPTSP/2019 25-Jan-19 NI MADE SUKERTI JL. PAHLAWAN NO. 15 B SINGARAJA, KEL.
BANJAR TEGAL, KEC. BULELENG RSUD KAB. BULELENG Surat Izin Praktek Perawat
28 503-38.6/028/SIPP-
I/DPMPPTSP/2019 28-Jan-19 KARTIKA WEDAYANTI JL. GEMPOL GG. ELANG NO. 21, BANY.
BARAT, KEL. BANYUNING, KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat
29 503-38.6/029/SIPP-
I/DPMPPTSP/2019 28-Jan-19 NI LUH PUTU
WERDIASIH BD. MUNDUK, DS. BANJAR, KEC. BANJAR RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat 30 503-38.6/030/SIPP-
I/DPMPPTSP/2019 28-Jan-19 I GUSTI AYU MAYA SADNYAWATI
BD. DAUH MUNDUK, DS. BUNGKULAN, KEC.
SAWAN RSUD KABUPATEN BULELENG Surat Izin Praktek
Perawat
31 503-38.6/031/SIPP-
I/DPMPPTSP/2019 28-Jan-19 PUTU IVIN YUSFADENI JL. PULAU MENJANGAN GG. PONOGORO 1,
KEL. BANYUNING, KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat
32 503-38.6/032/SIPP-
I/DPMPPTSP/2019 28-Jan-19 I PUTU GUNHA WISNAWA
JL. G. TAMBORA B.D NO. 27, KEL.
LILIGUNDI, KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat 33 503-38.6/033/SIPP-
I/DPMPPTSP/2019 28-Jan-19 NI MADE AYU SUCIKA GG. DURIAN I, BD. BABAKAN, DS.
SAMBANGAN, KEC. SUKASADA RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat
34 503-38.6/034/SIPP-
I/DPMPPTSP/2019 28-Jan-19 LUH PUTU HERLYN ASMARAYANI
JL. PARIKESIT GG. IV/5, KEL. BANJAR TEGAL.
KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat 35 503-38.6/035/SIPP-
I/DPMPPTSP/2019 28-Jan-19 NI WAYAN SUKIASIH JL. GEMPOL RT. RATNADI I/B 3, BR. PETAK,
KEL. ASTINA, KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat
36 503-38.6/036/SIPP-
I/DPMPPTSP/2019 28-Jan-19 NI LUH WILHANTINI, A.MD. KEP
JL. P. MENJANGAN BLOK I/32, BANYUNING
INDAH, KEL. BANYUNING, KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat
37 503-38.6/037/SIPP-
I/DPMPPTSP/2019 28-Jan-19 MADE SUSILAWATI JL. RATULANGI NO. 62, KEL. PENARUKAN,
KEC. BULELENG RSUD KABUPATEN BULELENG Surat Izin Praktek Perawat 38 503-38.6/038/SIPP-
I/DPMPPTSP/2019 29-Jan-19 NI NENGAH SUKARIANI BD. TENGAH, DS. BANYUATIS, KEC. BANJAR PUSKESMAS BANJAR II Surat Izin Praktek Perawat 39 503-38.6/039/SIPP-
I/DPMPPTSP/2019 30-Jan-19 LUH PUTU ZANDRA DEWI ADRI
JL. NGURAH RAI NO 34, KEL. ASTINA, KEC.
BULELENG
RSU KARYA DHARMA HUSADA SINGARAJA
Surat Izin Praktek Perawat 40 503-38.6/040/SIPP-
I/DPMPPTSP/2019 30-Jan-19 NI LUH KOMANG AYU ANDINI
JL. GUNUNG RINJANI BLOK 2 NO. 22, DS.
BANJAR TEGAL, KEC. BULELENG
RSU KARYA DHARMA HUSADA SINGARAJA
Surat Izin Praktek Perawat 41 503-38.6/041/SIPP-
I/DPMPPTSP/2019 30-Jan-19 I GD ANDRE ANGGARA PUTRA
BD. DAJAN MARGI, DS. SILANGJANA, KEC.
SUKASADA
RSU KARYA DHARMA HUSADA SINGARAJA
Surat Izin Praktek Perawat 42 503-38.6/042/SIPP-
I/DPMPPTSP/2019 30-Jan-19 NI LUH SRI ASTINI, S.Kep
BD. DHARMA SEMADI, DS. TUKAD MUNGGA, KEC. BULELENG
RSU KARYA DHARMA HUSADA SINGARAJA
Surat Izin Praktek Perawat 43 503-38.6/043/SIPP-
I/DPMPPTSP/2018 30-Jan-19 KADEK DESY SUWANTARI
BD. ANTAPURA, DS. TEJAKULA, KEC.
TEJAKULA
RSU KARYA DHARMA HUSADA SINGARAJA
Surat Izin Praktek Perawat 44 503-38.6/044/SIPP-
1/DPMPPTSP/2018 07-Feb-19 SRI SAKINAH DAMAYANTI
BD. KAUMAN, DS. PENGASTULAN, KEC.
SERIRIT RSU SHANTI GRAHA Surat Izin Praktek
Perawat
45 503-38.6/045/SIPP-
I/DPMPPTSP/2019 19-Feb-19 NI WAYAN ARY IDAYANI
JL. SRIKANDI GG. LECI, LINGK. TEGAL ASTINA, KEL. BANJAR TEGAL, KEC.
BULELENG
RSUD. KABUPATEN BULELENG Surat Izin Praktek Perawat
46 503-38.6/046/SIPP-
I/DPMPPTSP/219 21-Feb-19 I KADEK EDY
SURIANDANA BD. KELOD, DS. KEDIS, KEC. BUSUNGBIU RUMAH SAKIT PRATAMA GIRI EMAS Surat Izin Praktek Perawat
47 503-38.6/047/SIPP-
I/DPMPPTSP/2019 21-Feb-19
NI MADE ARY PRIYANTI PUSPARINI,
A.md. Kep
BD./LINGK. BANYUNING, KEL. BANYUNING,
KEC. BULELENG RUMAH SAKIT PRATAMA GIRI EMAS Surat Izin Praktek Perawat
48 503-38.6/048/SIPP-
I/DPMPPTSP/2019 21-Feb-19 NI PUTU ERNAYANI JL. DEWI UMA IA/2, DS. BAKTISERAGA, KEC.
BULELENG RUMAH SAKIT PRATAMA GIRI EMAS Surat Izin Praktek Perawat 49 503-38.6/049/SIPP-
I/DPMPPTSP/2019 21-Feb-19 I MADE SUSANTIANA PUTRA
JL. P. TIMOR GG. TEKUKUR, KEL.
BANYUNING, KEC. BULELENG RUMAH SAKIT PRATAMA GIRI EMAS Surat Izin Praktek Perawat 50 503-38.6/050/SIPP-
I/DPMPPTSP/2019 01-Mar-19 NI PUTU INDRA LESTARI DEWI
JL. BISMA GG. MUTIARA 3 NO. 6, KEL.
BANJAR TEGAL, KEC. BULELENG
LEMBAGA PERMASYARAKATAN KELAS II B
Surat Izin Praktek Perawat
51 503-38.6/051/SIPP-
I/DPMPPTSP/2019 19-Mar-19 NI KADEK ARPINI BD. KAUH, DS. TAMBLANG, KEC.
KUBUTAMBAHAN RSU KARYA DHARMA HUSADA Surat Izin Praktek Perawat
52 503-38.6/052/SIPP-
I/DPMPPTSP/2019 19-Mar-19 NI NYOMAN WIDASTRI
ARI SETIANI BD. ANTASARI, DS. PACUNG, KEC. TEJAKULA RSU KARYA DHARMA HUSADA Surat Izin Praktek Perawat
53 503-38.6/053/SIPP-
I/DPMPPTSP/2019 19-Mar-19 DESAK MADE DEWI
DARMAWATI BD. GESING I, DS. GESING, KEC. BANJAR RSU KARYA DHARMA HUSADA Surat Izin Praktek Perawat 54 503-38.6/054/SIPP-
I/DPMPPTSP/2019 19-Mar-19 KADEK MINA SUSANTI JL. P. BATAM NO. 15 SINGARAJA, KEL.
BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA Surat Izin Praktek Perawat
55 503-38.6/055/SIPP-
I/DPMPPTSP/2019 19-Mar-19 DESAK KOMANG AYU MIRAH FEBRI ADNYANI
JL. SRIKANDI GG. WISMA BHAYANGKARA, BD. BABAKAN, DS. SAMBANGAN, KEC.
SUKASADA
RSU KARYA DHARMA HUSADA Surat Izin Praktek Perawat
56 503-38.6/056/SIPP-
I/DPMPPTSP/2019 19-Mar-19 I KOMANG JUNI ARTA DUSUN PUNDUH SANGSIT, DS.
BUNGKULAN, KEC. SAWAN
RSU KARYA DHARMA HUSADA SINGARAJA
Surat Izin Praktek Perawat 57 503-38.6/057/SIPP-
I/DPMPPTSP/2019 19-Mar-19 KADEK SUYANTI DS. KALISADA, KEC. SERIRIT RSU KDH BROS Surat Izin Praktek Perawat 58 503-38.6/058/SIPP-
I/DPMPPTSP/2019 19-Mar-19 I KETUT NGURAH SUDARMA
BD. PUNDUH LO, DS. BUNGKULAN, KEC.
SAWAN RSU KDH BROS Surat Izin Praktek
Perawat 59 503-38.6/059/SIPP-
I/DPMPPTSP/2019 19-Mar-19 LUH PUTU ERNA ROSIANA
DUSUN KAJA KANGIN, DS. TAMBLANG, KEC.
KUBUTAMBAHAN RSU KDH BROS Surat Izin Praktek
Perawat
60 503-38.6/060/SIPP-
I/DPMPPTSP/2019 19-Mar-19 I WAYAN SUGI ARTHANA, S.Kep
JL. P. KOMODO GG. MAHONI RT. 01 LINK.
BANYUNING TIMUR, KEL. BANYUNING, KEC.
BULELENG
RSU KDH BROS Surat Izin Praktek Perawat
61 503-38.6/061/SIPP-
I/DPMPPTSP/2019 21-Mar-19 NI LUH PUTU CITRA JL. SRI MADYA LESTARI, LINGK. BANYUNING
BARAT, KEL. BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
62 503-38.6/061/SIPP-
I/DPMPPTSP/2019 21-Mar-19 NI KADEK ANGGI PUSPAWATI
JL. P. KOMODO GG. MAHONI RT 01, KEL
BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
63 503-38.6/062/SIPP-
I/DPMPPTSP/2019 21-Mar-19 NI KADEK YULI DHARMAYANTI
JL. P. KOMODO GG. MAHONI RT 01, LINGK.
BANUNING, KEL. BANYUNING, KEC.
BULELENG
RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
64 503-38.6/063/SIPP-
I/DPMPPTSP/2019 21-Mar-19 NI LUH AYU WIRDANINGSIH
JL. P. KOMODO GG. MAHONI, LINGK.
BANYUNING TIMUR, KEL. BANYUNING, KEC.
BULELENG
RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
65 503-38.6/064/SIPP-
I/DPMPPTSP/2019 25-Mar-19 GEDE NOVA WISNU DHARMAWAN
BD. CELUKBULUH, DS. KALIBUKBUK, KEC.
BULELENG RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
66 503-38.6/065/SIPP-
I/DPMPPTSP/2019 21-Mar-19 I KADEK DWI PUTRA ANTARA
JL. GEMPOL GG. MASULA MASULI NO. 106
H, KEL. BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
67 503-38.6/066/SIPP-
I/DPMPPTSP/2019 25-Mar-19 I WAYAN SUNARTA JL. P. KOMODO GG. MAHONI RT 01, KEL.
BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
68 503-38.6/067/SIPP-
I/DPMPPTSP/2019 25-Mar-19 KUSUMO ESTRI PAMUNGKAS
JL. LAKSAMANA GG. DEWI KUNTI, DSN.
TISTA, DS. BAKTISERAGA, KEC. BULELENG RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
69 503-38.6/068/SIPP-
I/DPMPPTSP/2019 25-Mar-19 DESI INTAN AULIA JL. DIPONEGORO GG. PERKUTUT NO. 11,
KEL. SERIRIT, KEC. SERIRIT RSU KARYA DHARMA HUSADA-BROS Surat Izin Praktek Perawat
70 503-38.6/069/SIPP-
I/DPMPPTSP/2019 25-Mar-19 DESAK AYU MADE DESIMIATI
JL. P. KOMODO GG. MAHONI RT 01, LINGK.
BANYUNING, KEL. BANYUNING, KEC.
BULELENG
RSU KARYA DARMA HUSADA-BROS Surat Izin Praktek Perawat
71 503-38.6/071/SIPP-
I/DPMPPTSP/2019 28-Mar-19 FARADELLA SALLINA PUTRI
JL. TRI BRATA BTN. ASRI AGUNG PERSADA
B.19, KEL. PAKET AGUNG, KEC. BULELENG RSU KERTHA USADA Surat Izin Praktek Perawat
72 503-38.6/072/SIPP-
I/DPMPPTSP/2019 28-Mar-19 NYOMAN HADI HARIANTHA
BD. KELOD KAUH, DS. BONDALEM, KEC.
TEJAKULA RSU KERTHA USADA Surat Izin Praktek
Perawat 73 503-38.6/073/SIPP-
I/DPMPPTSP/2019 28-Mar-19 NOVIASUKMA NUR HARYATI AMKAS
JL. PATIMURA GG. DAYUNG, KEL. KAMPUNG
BUGIS, KEC. BULELENG RSU KERTHA USADA Surat Izin Praktek Perawat 74 503-38.6/074/SIPP-
I/DPMPPTSP/2019 02-Apr-19 KOMANG AYU FITRI WULANDARI
JL. GAJAH MADA NO. 100, KEL. BANJAR
JAWA, KEC. BULELENG RUMAH SAKIT BALIMED BULELENG Surat Izin Praktek Perawat 75 503-38.6/075/SIPP-
I/DPMPPTSP/2019 02-Apr-19 NYOMAN MARTANA BD. TAMAN SARI, DS. SULANYAH, KEC.
SERIRIT RUMAH SAKIT BALIMED BULELENG Surat Izin Praktek Perawat 76 503.38.6/076/SIPP-
I/DPMPPTSP/2018 02-Apr-19 MADE SISKA DIANA SARI
JL. PAHLAWAN GG. VI, KEL. BANJAR TEGAL,
KEC. BULELENG RUMAH SAKIT BALIMED BULELENG Surat Izin Praktek Perawat 77 503.38.6/077/SIPP-
I/DPMPPTSP/2018 02-Apr-19 NI MADE PURNAMI, A.Md.Kep
LINK. WIDYA SARI GG. X NO. 15, KEL.
KAMPUNG BARU, KEC. BULELENG RUMAH SAKIT BALIMED BULELENG Surat Izin Praktek Perawat 78 503.38.6/078/SIPP-
I/DPMPPTSP/2019 10-Apr-19 NI PUTU KRISNA YUNI BD. TANGGUWISIA, DS. TANGGUWISIA,
KEC. SERIRIT RUMAH SAKIT BALIMED Surat Izin Praktek Perawat 79 503-38.6/079/SIPP-
I/DPMPPTSP/2019 10-Apr-19 PUTU YUDA SUDIASTIKA
BD. DHARMA YADNYA, DS. TUKAD
MUNGGA, KEC. BULELENG RUMAH SAKIT BALIMED Surat Izin Praktek Perawat 80 503-38.6/080/SIPP-
I/DPMPPTSP/2019 15-Apr-19 NI WAYAN NOVIYANTI BD. LABA MANGGA, DS. PANGKUNG PARUK,
KEC. SERIRIT RS PRATAMA TANGGUWISIA Surat Izin Praktek Perawat
81 503-38.6/081/SIPP-
I/DPMPPTSP/2019 15-Apr-19 I PUTU DWI JAYANTIKA PERUM. NUANSA PADI PERMAI NO. 9, BD.
BABAKAN, DS. PANJI, KEC. SUKASADA RSU KERTHA USADA Surat Izin Praktek Perawat
82 503-38.6/082/SIPP-
I/DPMPPTSP/2019 15-Apr-19 YOGI BAHTIAR JL. GUNUNG SEMERU, KEL. KAMPUNG
SINGARAJA, KEC. BULELENG RSU. KERTHA USADA Surat Izin Praktek Perawat 83 503-38.6/083/SIPP-
I/DPMPPTSP/2019 18-Apr-19 DEDI FITRIYADI BD. TEGAL SARI, DS. SULANYAH, KEC.
SERIRIT RSU SHANTI GRAHA Surat Izin Praktek
Perawat 84 503-38.6/084/SIPP-
I/DPMPPTSP/2019 18-Apr-19 KOMANG ARIF WIHARTA
BD. KAJA, DS. BUSUNGBIU, KEC.
BUSUNGBIU RSU SHANTI GRAHA Surat Izin Praktek
Perawat 85 503-38.6/085/SIPP-
I/DPMPPTSP/2019 24-Apr-19 I MADE DEDIK PURNA WIJAYA
BD. TEGAL SARI, DS. TANGGUWISIA, EC.
SERIRIT RS PRATAMA TANGGUWISIA Surat Izin Praktek Perawat 86 503-38.6/086/SIPP-
I/DPMPPTSP/2019 25-Apr-19 KOMANG SRI LESTARI BD. TEGAL SARI, DS. TANGGUWISIA, KEC.
SERIRIT RS. PRATMA TANGGUWISIA Surat Izin Praktek Perawat 87 503-38.6/087/SIPP-
I/DPMPPTSP/2019 25-Apr-19 I WAYAN BUDI WARNAYA
BD. BOLANGAN, DS. KAYUPUTIH, KEC.
BANJAR RS PRATAMA TANGGUWISIA Surat Izin Praktek
Perawat 88 503-38.6/088/SIPP-
I/DPMPPTSP/2019 25-Apr-19 I KETUT BUDIARTA BD. SARI, DS. PENGASTULAN, KEC. SERIRIT RS PRATAMA TANGGUWISIA Surat Izin Praktek Perawat 89 503-38.6/089/SIPP-
I/DPMPPTSP/2019 25-Apr-19 NI NYOMAN GITA TRISNA DEWI
BD. BRONGBONG, DS. CELUKAN BAWANG,
KEC. GEROKGAK RSU. SHANTI GRAHA Surat Izin Praktek
Perawat 90 503-38.6/090/SIPP-
I/DPMPPTSP/2019 29-Apr-19 I MADE WIRAWAN BD. DANGIN MARGI, DS. PEMARON RSU KERTHA USADA Surat Izin Praktek Perawat 91 503-38.6/091/SIPP-
I/DPMPPTSP/2019 29-Apr-19 NI PUTU INDRI WIKARNINGSIH
BD. BERGONG, DS. POH BERGONG, KEC.
BULELENG RS. PRATAMA TANGGUWISIA Surat Izin Praktek Perawat 92 503-38.6/092/SIPP-
I/DPMPPTSP/2019 29-Apr-19 NI KOMANG WIDIARTINI
BD. KANGINAN, DS. TINGGARSARI, KEC.
BUSUNGBIU RS PRATAMA TANGGUWISIA Surat Izin Praktek Perawat 93 503-38.6/093/SIPP-
I/DPMPPTSP/2019 29-Apr-19 LUH LILIS WIDIASARI BD. DAUH PURA, DS. TIGAWASA, KEC.
BANJAR RS PRATAMA TANGGUWISIA Surat Izin Praktek
Perawat 94 503-38.6/094/SIPP-
I/DPMPPTSP/2019 29-Apr-19 I KETUT PURNA SENTANA
PERUM SRIKANDI BLOK C/10, DS.
BAKTISERAGA, KEC. BULELENG RSU KERTHA USADA Surat Izin Praktek Perawat 95 503-38.6/095/SIPP-
I/DPMPPTSP/2019 29-Apr-19 NI WAYAN ADIARI JL. JALAK BARAT NO. 2 B, KEL. KALIUNTU,
KEC. BULELENG RSU KERTHA USADA Surat Izin Praktek
Perawat 96 503-38.6/096/SIPP-
I/DPMPPTSP/2019 29-Apr-19 NI LUH BUDIASTINI BD. TUKADPULE, DS. SANGGALANGIT, KEC.
GEROKGAK RSU KERTHA USADA Surat Izin Praktek
Perawat 97 503-38.6/097/SIPP-
I/DPMPPTSP/2019 29-Apr-19 LUH PUTU YENI HARYATI
BD. KUBUKELOD, DS. BUNGKULAN,KEC.
SAWAN RSU KERTHA USADA Surat Izin Praktek
Perawat 98 503-38.6/098/SIPP-
I/DPMPPTSP/2019 29-Apr-19 PUTU EKA PRAYOGI PUTRI, S.Kep.Ns
JL. JALAK BARAT NO. 2, KEL. KALIUNTU, KEC.
BULELENG RSU KERTHA USADA Surat Izin Praktek
Perawat 99 503-38.6/099/SIPP-
I/DPMPPTSP/2019 29-Apr-19 NI LUH RUTAMI JL. BANGAU NO. 6, KEL. KALIUNTU, KEC.
BULELENG RSU KERTHA USADA Surat Izin Praktek
Perawat 100 503-38.6/100/SIPP-
I/DPMPPTSP/2019 06-Mei-19 NYOMAN ASRI UTAMI JL. GATOT KACA NO. 2A, KEL. BANJAR
JAWA, KEC. BULELENG PUSKESMAS SUKASADA II Izin Praktek Perawat
101 503-38.6/101/SIPP-
I/DPMPPTSP/2019 06-Mei-19 ADE ERMA ARISANDHI BD. TENGAH, DS. BANYUATIS, KEC. BANJAR RS KARYA DHARMA HUSADA Izin Praktek Perawat 102 503-38.6/102/SIPP-
I/DPMPPTSP/2019 06-Mei-19 AJIE PRATAMA BD. KANGINAN, DS. MENYALI, KEC. SAWAN RS KARYA DHARMA HUSADA Izin Praktek Perawat 103 503-38.6/103/SIPP-
I/DPMPPTSP/2019 06-Mei-19 GUSTI NGURAH KARDISAPUTRA
JL. YUDISTIRA NO. 26, KEL. KENDRAN, KEC.
BULELENG RS KARYA DHARMA HUSADA Izin Praktek
Perawat 104 503-38.6/104/SIPP-
I/DPMPPTSP/2019 06-Mei-19 PUTU AGUS NOVA PURWANTO
BD. TENGADS. BUSUNGBIU, KEC.
BUSUNGBIU RS KARYA DHARMA HUSADA Izin Praktek
Perawat 105 503-38.6/105/SIPP-
I/DPMPPTSP/2019 06-Mei-19 GEDE RUDIKA BD. TAMANSARI, DS. PADANGBULIA, KEC.
SUKASADA RS KARYA DHARMA HUSADA Izin Praktek
Perawat
106 503-38.6/106/SIPP-
I/DPMPPTSP/2019 06-Mei-19 NI KADEK INDAH WATI
JL.P. KOMODO GG. MAHONI RT. 1 LINGK.
BANYUNING TIMUR, KEL. BANYUNING, KEC.BULELENG
RS KARYA DHARMA HUSADA Izin Praktek Perawat
107 503-38.6/107/SIPP-
I/DPMPPTSP/2019 06-Mei-19 KADEK ANDRIANI BD. SUBUK, DS. SUBUK, KEC. BUSUNGBIU RS KARYA DHARMA HUSADA Izin Praktek Perawat 108 503-38.6/108/SIPP-
I/DPMPPTSP/2019 06-Mei-19 PUTU ELY PRAYUNIKA
DEWI BD. SABI, DS. SUWUG, KEC. SAWAN RS KARYA DHARMA HUSADA Izin Praktek Perawat 109 503-38.6/109/SIPP-
I/DPMPPTSP/2019 08-Mei-19 NI NYOMAN ARIYANI BD. KAJANAN, DS. MADENAN, KEC.
TEJAKULA RUMAH SAKIT BALIMED Izin Praktek
Perawat 110 503-38.6/110/SIPP-
I/DPMPPTSP/2019 08-Mei-19 KADEK YULIANDA DEWI
BD. KAUHAN, DS. KEKERAN, KEC.
BUSUNGBIU RUMAH SAKIT BALIMED Izin Praktek
Perawat 111 503-38.6/111/SIPP-
I/DPMPPTSP/2019 09-Mei-19 PUTU DIAH NOVIANTI JL. GATOT KACA NO. 6, KEL. BANJAR JAWA,
KEC. BULELENG RS PRATAMA GIRI EMAS Izin Praktek
Perawat 112 503-38.6/112/SIPP-
I/DPMPPTSP/2019 09-Mei-19 KADEK SISKA PURNAMA DEWI
DSN. SAAP, DS. MANIKLIYU, KEC.
KINTAMANI RS PRATAMA GIRI EMAS Izin Praktek
Perawat 113 503-38.6/113/SIPP-
I/DPMPPTSP/2019 09-Mei-19 LUH PUTU ROSITA DEWI
BD. KAJANAN, DS. MADENAN, KEC.
TEJAKULA RS PRATAMA GIRI EMAS Izin Praktek
Perawat 114 503-38.6/114/SIPP-
I/DPMPPTSP/2019 09-Mei-19 PUTU CRYSTINA PITALOKA
BD. DHARMA YASA, DS. TUKAD MUNGGA,
KEC. BULELENG RS PRATAMA GIRI EMAS Izin Praktek
Perawat 115 503-38.6/115/SIPP-
I/DPMPPTSP/2019 09-Mei-19 I PUTU UMBARA YOGA,S.Kep.Ns
GG. DELIMA, BD. BABAKAN, DS.
SAMBANGAN, KEC. SUKASADA RS PRATAMA GIRI EMAS Izin Praktek Perawat 116 503-38.6/116/SIPP-
I/DPMPPTSP/2019 09-Mei-19 LUH PUTU REKTO
GOLDIE CANOPY BD. NGIS, DS. TEMBOK, KEC. TEJAKULA RS PRATAMA GIRI EMAS Izin Praktek Perawat 117 503-38.6/117/SIPP-
I/DPMPPTSP/2019 09-Mei-19 DESIKA WIDASARI JL. PULAU NIAS NO. 15 A, KEL. KAMPUNG
BARU, KEC. BULELENG RS PRATAMA GIRI EMAS Izin Praktek Perawat 118 503-38.6/118/SIPP-
I/DPMPPTSP/2019 09-Mei-19 MADE DENY WIDIADA BD. PEKEN, DS. SANGSIT, KEC. SAWAN RS PRATAMA GIRI EMAS Izin Praktek Perawat
119 503-38.6/119/SIPP-
I/DPMPPTSP/2019 09-Mei-19 MADE BAKTA KARDANA
JL. VETERAN GANG 1 NO. 7, KEL. PAKET
AGUNG, KEC. BULELENG RS PRATAMA GIRI EMAS Izin Praktek Perawat
120 503-38.6/120/SIPP-
I/DPMPPTSP/2019 09-Mei-19 I GEDE AGUS SUARYA RAJA PUTRA
BD. DANGIN PURA, DS. DEPEHA, KEC.
KUBUTAMBAHAN RS PRATAMA GIRI EMAS Izin Praktek
Perawat
121 503-38.6/121/SIPP-
I/DPMPPTSP/2019 09-Mei-19 DEWA AYU PUTU DITA PUSPARANI
JL. PULAU BATAM, DS. PENARUKAN, KEC.
BULELENG RS PRATAMA GIRI EMAS Izin Praktek
Perawat 122 503-38.6/122/SIPP-
I/DPMPPTSP/2019 14-Mei-19 Ns. NI LUH PUTU SUSI LESTARI, S.Kep.
JL. P. MENJANGAN GG. KARTINI, KEL.
BANYUNING, KEC. BULELENG PUSKESMAS SAWAN I Izin Praktek Perawat 123 503-38.6/123/SIPP-
I/DPMPPTSP/2019 17-Mei-19 GEDE ANDIKA SANJAYA PUTRA
JL. WR. SUPRATMAN NO. 22, KEL.
PENARUKAN, KEC. BULELENG RSU SHANTI GRAHA Izin Praktek Perawat 124 503-38.6/124/SIPP-
I/DPMPPTSP/2019 17-Mei-19 NI KADEK DWI WAHYUNI
BD. BATUGUNUNG, DS. BUKIT, KEC.
KARANGASEM RSU SHANTI GRAHA Izin Praktek
Perawat 125 503-38.6/125/SIPP-
I/DPMPPTSP/2019 17-Mei-19 PUTU DHIAN SAPTARINI
DUSUN PALA, DS. PENGASTULAN, KEC.
SERIRIT RSU SHANTI GRAHA Izin Praktek
Perawat 126 503-38.6/126/SIPP-
I/DPMPPTSP/2019 17-Mei-19 NI KOMANG SUARNADI
BR. PALALINGGAH, DS. EKASARI, KEC.
MELAYA RSU SHANTI GRAHA Izin Praktek
Perawat 127 503-38.6/127/SIPP-
I/DPMPPTSP/2019 17-Mei-19 KADEK YOGA SETIAWAN
BD. KALIBUKBUK, DS. KALIBUKBUK, KEC.
BULELENG RSU KARYA DHARMA HUSADA Izin Praktek
Perawat 128 503-38.6/128/SIPP-
I/DPMPPTSP/2019 17-Mei-19 NI KADEK BELA PURNAMA DEWI
JL. BISMA UTARA NO. 11, KEL. BANJAR
TEGAL, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 129 503-38.6/129/SIPP-
I/DPMPPTSP/2019 17-Mei-19 JIMMY PRANATA JL. YUDISTIRA SELATAN NO, 4, KEL.
KENDRAN, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 130 503-38.6/130/SIPP-
I/DPMPPTSP/2019 31-Mei-19 Ns. AIDHA SAPITRI, S.
Kep
BD. SEKELING, DS. PENYABANGAN, KEC.
GEROKGAK KLINIK UTAMA DHARMANATHA Izin Praktek
Perawat 131 503-38.6/131/SIPP-
I/DPMPPTSP/2019 13-Jun-19 SANG AYU MADE YONI
PRADNYANI BD. MUNDUK, DS. BANJAR, KEC. BANJAR RSU. SHANTI GRAHA Izin Praktek Perawat 132 503-38.6/132/SIPP-
I/DPMPPTSP/2019 13-Jun-19 WIRAHADI FAUZI JL. BISMA NO. 14 SINGARAJA, KEL. BANJAR
TEGAL, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 133 503-38.6/133/SIPP-
I/DPMPPTSP/2019 13-Jun-19 I GEDE ANOM CS
SULISTYO JL.PARIKESIT I NO. 6 SINGARAJA RSU KARYA DHARMA HUSADA Izin Praktek Perawat 134 503-38.6/134/SIPP-
I/DPMPPTSP/2019 13-Jun-19 PUTU CANDRA DEWI BD. DAUH MARGI GG. CAMAR NO. 2, DS.
PEMARON, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 135 503-38.6/135/SIPP-
I/DPMPPTSP/2019 13-Jun-19 NI PUTU YUNITA ANDRIYANI
JL. P. OBI GG. SRIKAYA, KEL. BANYUNING,
KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 136 503-38.6/136/SIPP-
I/DPMPPTSP/2019 18-Jun-19 NI PUTU SUMIASIH JL. ANGGREK NO. 35A SINGARAJA, KEL.
KALIUNTU, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat
137 503-38.6/137/SIPP-
I/DPMPPTSP/2019 18-Jun-19 KADEK ESIDIANA UTTARI
GG. PERTIWI BD. BABAKAN, DS.
SAMBANGAN, KEC. SUKASADA RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat 138 503-38.6/138/SIPP-
I/DPMPPTSP/2019 18-Jun-19 GEDE WIDNYANA BD. BULULADA, DS. SELAT, KEC. SUKASADA RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat 139 503-38.6/139/SIPP-
I/DPMPPTSP/2019 18-Jun-19 PUTU GINA SUSANTI JL. P. BATAM NO. 15 SINGARAJA, KEL.
BANYUNING, KEC. BULELENG RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat 140 503-38.6/140/SIPP-
I/DPMPPTSP/2019 18-Jun-19 MADE ADI PURNA WIRAWAN
BD. TUNJUNG MEKAR, DS. BUBUNAN, KEC.
SERIRIT RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat
141 503-38.6/141/SIPP-
I/DPMPPTSP/2019 18-Jun-19 KADEK ASTURIANI BD. KAJEKANGIN, DS. KUBUTAMBAHAN,
KEC. KUBUTAMBAHAN RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat
142 503-38.6/142/SIPP-
I/DPMPPTSP/2019 18-Jun-19 NI LUH SUCIPTAYANI BD. BAU LUMBANG, DS. PENUKTUKAN, KEC.
TEJAKULA RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat 143 503-38.6/143/SIPP-
I/DPMPPTSP/2019 18-Jun-19 NI PUTU LISTIANA DEWI
BANJAR BANYUSUTA II NO. 16, KEL. ASTINA,
KEC. BULELENG RSU KERTHA USADA Izin Praktek
Perawat 144 503-38.6/144/SIPP-
I/DPMPPTSP/2019 18-Jun-19 KATUT MARIASTINI BD. AMBENGAN, DS BANJAR, KEC. BANJAR RSU KERTHA USADA Izin Praktek Perawat
145 503-38.6/145/SIPP-
I/DPMPPTSP/2019 18-Jun-19 SAYU PUTU PUTRI ARIANI
JL. P. KOMODO NO. 34, LINGK. BANYUNING
UTARA, KEL. BANYUNING, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat
146 503-38.6/146/SIPP-
I/DPMPPTSP/2019 18-Jun-19 I GEDE SURYA
ADNYANA BD. KANGINAN, DS. SAWAN, KEC. SAWAN RSU KERTHA USADA Izin Praktek Perawat 147 503-38.6/147/SIPP-
I/DPMPPTSP/2019 19-Jun-19 IDA AYU PUTU RULIANA OKARIANI
BD. BABAKAN, DS. SAMBANGAN, KEC.
SUKASADA RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat
148 503-38.6/148/SIPP-
I/DPMPPTSP/2019 19-Jun-19 ARI SETYAWATI A.Md.
Kep
JL. GEMPOK GG. MASULA MASULI NO. 106 H, LINGK. BANYUNING TENGAH, KEL.
BANYUNING, KEC. BULELENG
RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat
149 503-38.6/149/SIPP-
I/DPMPPTSP/2019 26-Jun-19 NI LUH SARINI PERUM WISMA SEJAHTERA, KEL.
BANYUNING, KEC. BULELENG RSUD KABUPATEN BULELENG Izin Praktek Perawat 150 503-38.6/150/SIPP-
I/DPMPPTSP/2019 26-Jun-19 AJIBUT BD. DAUH MARGI, DS. PEMARON, KEC.
BULELENG RSUD KABUPATEN BULELENG Izin Praktek
Perawat 151 503-38.6/151/SIPP-
I/DPMPPTSP/2019 26-Jun-19 I NYOMAN JUNMILAH BD. CEBLONG, DS. SUDAJI, KEC. SAWAN RSUD KABUPATEN BULELENG Izin Praktek Perawat 152 503-38.6/152/SIPP-
I/DPMPPTSP/2019 01-Jul-19 KETUT SARIATI BD. TAOG, DS. KAYUPUTIH, KEC. BANJAR RSUD KAB. BULELENG Izin Praktek Perawat 153 503-38.6/153/SIPP-
I/DPMPPTSP/2019 01-Jul-19 I GUSTI AYU TRI
LAKSMI BD. DAWAN, DS. KALIANGET, KEC. SERIRIT RSUD KABUPATEN BULELENG Izin Praktek Perawat
154 503-38.6/154/SIPP-
I/DPMPPTSP/2019 03-Jul-19 NI KETUT SANTI PARAMITA DEWI
BANJAR PASUT, DS. PENGERAGOAN, KEC.
PEKUTATAN RSU KDH BROS Izin Praktek
Perawat 155 503-38.6/155/SIPP-
I/DPMPPTSP/2019 03-Jul-19 LUH PUTU EVIYANI BD. KELOD KAUH, DS. TAMBLANG, KEC.
KUBUTAMBAHAN RSU KDH BROS Izin Praktek
Perawat 156 503-38.6/156/SIPP-
I/DPMPPTSP/2019 03-Jul-19 I PUTU JULI PRADANA BD. UMASENDI, DS. TIGAWASA, KEC.
BANJAR RSU KDH BROS Izin Praktek
Perawat 157 503-38.6/157/SIPP-
I/DPMPPTSP/2019 03-Jul-19 NI LUH PUTU CITRA BD. MENANGA KANGIN, DS. MENANGA,
KEC. RENDANG RSU KARYA DHARMA HUSADA Izin Praktek
Perawat 158 503-38.6/158/SIPP-
I/DPMPPTSP/2019 03-Jul-19 LUH AYU SILVIA WIDIASCINI
BD. TEGAL SARI, DS. SUMBERKIMA, KEC.
GEROKGAK RSU KARYA DHARMA HUSADA Izin Praktek
Perawat 159 503-38.6/159/SIPP-
I/DPMPPTSP/2019 03-Jul-19 NI MADE WIDIATMIKA BD. BENGKEL, DS. BEBETIN, KEC. SAWAN RSUD KABUPATEN BULELENG Izin Praktek Perawat 160 503-38.6/160/SIPP-
I/DPMPPTSP/2019 05-Jul-19 LUH PAS SUSANAWATI BD. KELODAN, DS. BUBUNAN, KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat 161 503-38.6/161/SIPP-
I/DPMPPTSP/2019 05-Jul-19 NI LUH RISA NOVIANA BD. AMBENGAN, DS.BANJAR, KEC. BANJAR PUSKESMAS SAWAN II Izin Praktek Perawat 162 503-38.6/162/SIPP-
I/DPMPPTSP/2019 08-Jul-19 DESAK GEDE SRI WULAN
BD. PELAPUAN, DS. PELAPUAN, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktek
Perawat 163 503-38.6/163/SIPP-
I/DPMPPTSP/2019 05-Jul-19 NI WAYAN ALIT WAHYU RIASTINI
BD. KELOD, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktek
Perawat 164 503-38.6/164/SIPP-
I/DPMPPTSP/2019 05-Jul-19 KETUT PUTRI BD. SUBUK, DS. SUBUK, KEC. BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktek Perawat 165 503-38.6/165/SIPP-
I/DPMPPTSP/2019 05-Jul-19 I NYOMAN ARSANA BD. ANGSANA SARI, DS. TITAB, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktek
Perawat 166 503-38.6/166/SIPP-
I/DPMPPTSP/2019 05-Jul-19 Ns. NENGAH WIRAWAN, S. Kep
BD. KANGINAN, DS. KEKERAN, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktek
Perawat 167 503-38.6/167/SIPP-
I/DPMPPTSP/2019 05-Jul-19 I KETUT SUPARTA DSN. DEBA SUBUK, DS. SUBUK, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktek
Perawat 168 503-38.6/168/SIPP-
I/DPMPPTSP/2019 11-Jul-19 KADEK IKAPATRIA SANDRE PUTRI
JL. MAYOR METRA GANG. II NO. 22, KEL.
LILIGUNDI, KEC. BULELENG RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat 169 503-38.6/169/SIPP-
I/DPMPPTSP/2019 12-Jul-19 RIZA ANDRIWARDONO GG. MENUH, BD. KALIBUKBUK, DS.
KALIBUKBUK, KEC. BULELENG KLINIK DHARMANATHA Izin Praktek Perawat 170 503-38.6/170/SIPP-
II/DPMPPTSP/2019 15-Jul-19 Ns. NENGAH WIRAWAN, S. Kep
BD. KANGINAN, DS. KEKERAN, KEC.
BUSUNGBIU
BD. KANGINAN, DS. KEKERAN, KEC.
BUSUNGBIU
Izin Praktek Perawat 171 503-38.6/171/SIPP-
I/DPMPPTSP/2019 16-Jul-19 NI KADEK SURYA WATI JL. SRI AMERTA GG II NO. 2, DS.
BAKTISERAGA, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat 172 503-38.6/172/SIPP-
I/DPMPPTSP/2019 16-Jul-19 I MADE DUWI ADHI WILANTARA
BR. KALANGANYAR, DS. YANGAPI, KEC.
TEMBUKU RSU KERTHA USADA Izin Praktek
Perawat
173 503-38.6/173/SIPP-
I/DPMPPTSP/2019 17-Jul-19 DIDIN HARTININGSIH BD. TEGALSARI, DS. SULANYAH, KEC.
SERIRIT RSU. SHANTI GRAHA Izin Praktek
Perawat 174 503-38.6/174/SIPP-
I/DPMPPTSP/2019 17-Jul-19 I NYOMAN BUDYARSA BD. TAMANSARI, DS. PADANGBULIA, KEC.
SUKASADA RSU. SHANTI GRAHA Izin Praktek
Perawat 175 503-38.6/175/SIPP-
I/DPMPPTSP/2019 30-Jul-19 GUSTI NGURAH KARDISAPUTRA
JL. YUDISTIRA NO. 26, KEL. KENDRAN, KEC.
BULELENG RSU KARYA DHARMA HUSADA Izin Praktek
Perawat 176 503-38.6/176/SIPP-
I/DPMPPTSP/2019 05-Agu-19 I KOMANG KARIADA BD. DHARMA KERTI, DS. TUKADMUNGGA,
KEC. BULELENG RSUD KAB. BULELENG Izin Praktek
Perawat 177 503-38.6/177/SIPP-
I/DPMPPTSP/2019 05-Agu-19 PUTU WAHYU ADNYANI, A.Md Kep
JL. TELENG NO. 4A SINGARAJA, KEL.
BANYUASRI, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat 178 503-38.6/178/SIPP-
I/DPMPPTSP/2019 05-Agu-19 NI LUH SUCIHARI JL. RATULANGI LINGK. PENARUKAN, KEL.
PENARUKAN, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
179 503-38.6/179/SIPP-
I/DPMPPTSP/2019 05-Agu-19
NI NYOMAN SUWANDEWI, S. Kep.
Ns
BD. BABAKAN, DS. PANJI, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat
180 503-38.6/180/SIPP-
I/DPMPPTSP/2019 05-Agu-19 NI WAYAN SRI HARTINI BD. ABASAN, DS. SANGSIT, KEC. SAWAN RSUD KAB. BULELENG Izin Praktek Perawat
181 503-38.6/181/SIPP-
I/DPMPPTSP/2019 05-Agu-19 NYOMAN ARIADA, S.
Kep. Ns
JL.P. KOMODO NO. 128 BANYUNING
TENGAH, KEL. BANYUNING, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
182 503-38.6/182/SIPP-
I/DPMPPTSP/2019 06-Agu-19 I MADE BINGIN JL. SRIKANDI GG. KEPUNDUNG BLOK A/1,
DS. BAKTISERAGA, KEC. BULELENG RSU. KERTHA USADA Izin Praktek Perawat 183 503-38.6/183/SIPP-
I/DPMPPTSP/2019 06-Agu-19 I PUTU ANDREYANA SUYASTAWAN
JL. LAKSAMANA GG. BIMA, DSN. TISTA, DS.
BAKTISERAGA, KEC. BULELENG RSU. KERTHA USADA Izin Praktek Perawat 184 503-38.6/184/SIPP-
I/DPMPPTSP/2019 06-Agu-19 NI PUTU AYU DARMADI
JL. SRIKANDI GG. DURIAN BLOK D/1, DS.
BAKTISERAGA, KEC. BULELENG RSU. KERTHA USADA Izin Praktek Perawat 185 503-38.6/185/SIPP-
I/DPMPPTSP/2019 06-Agu-19 KETUT EDY ARMIKA BD. BADA, DS. MAYONG, KEC. SERIRIT RSU KERTHA USADA Izin Praktek Perawat 186 503-38.6/186/SIPP-
I/DPMPPTSP/2019 06-Agu-19 LUH PUTU EKA PRATININGSIH
BD. KELOD, DS. BUSUNGBIU, KEC.
BUSUNGBIU RSU. KERTHA USADA Izin Praktek
Perawat 187 503-38.6/187/SIPP-
I/DPMPPTSP/2019 06-Agu-19 I GUSTI AYU KOMANG
SUDARINI BD. JERO, DS. SINABUN, KEC. SAWAN RSU KERTHA USADA Izin Praktek Perawat 188 503-38.6/188/SIPP-
I/DPMPPTSP/2019 06-Agu-19 I DEWA GEDE AGUS ARDANA PUTRA
JL. P. BALI GG. II NO. 48 SEKARSARI, KEL.
KAMPUNG BARU, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat 189 503-38.6/189/SIPP-
I/DPMPPTSP/2019 06-Agu-19 LUH AYU WIDAYANTI JL. P. LOMBOK WISMA SEJAHTERA, KEL.
BANYUNING, KEC. BULELENG RSU. KERTHA USADA Izin Praktek Perawat 190 503-38.6/190/SIPP-
I/DPMPPTSP/2019 06-Agu-19 PUTU CITRA ANJASMARA DEWI
BR. PENATARAN, KEL. KENDRAN, KEC.
BULELENG RS. BALIMED BULELENG Izin Praktek
Perawat
191 503-38.6/191/SIPP-
I/DPMPPTSP/2019 09-Agu-19 I GUSTI AGUNG KETUT PRAMODIHARJO
BD. JERO AGUNG, DS. LOKAPAKSA, KEC.
SERIRIT RS KERTHA USADA Izin Praktek
Perawat
192 503-38.6/192/SIPP-
I/DPMPPTSP/2019 09-Agu-19 I KOMANG
DARMAYASA BD. CELAGI, DS. UNGGAHAN, KEC. SERIRIT RS KERTHA USADA Izin Praktek Perawat 193 503-38.6/193/SIPP-
I/DPMPPTSP/2019 09-Agu-19 TEDY YUDHA PRAYOGA BD.ASEK, DS. TAJUN, KEC. KUBUTAMBAHAN RS KERTHA USADA Izin Praktek Perawat
194 503-38.6/194/SIPP-
I/DPMPPTSP/2019 09-Agu-19 Ns. KADEK AYU LUPITASARI, S. Kep
PERUM. TAMAN WIRA SAMBANGANBLOK D GADUNG 2 NO.8, BD. BABAKAN, DS.SAMBANGAN, KEC. SUKASADA
RS KERTHA USADA Izin Praktek Perawat
195 503-38.6/195/SIPP-
I/DPMPPTSP/2019 09-Agu-19
Ns. DEWA GEDE AGUNG DWINDRA,
S.Kep
PERUM. GRIYA MAWAR SARI NO. F5, BD.
KEMBANG SARI, DS. PANJI, KEC. SUKASADA RS KERTHA USADA Izin Praktek Perawat
196 503-38.6/196/SIPP-
I/DPMPPTSP/2019 09-Agu-19 NI MADE WARDANI JL. SETIABUDI GG. INDRAPRASTA, KEL.
BANYUNING, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
197 503-38.6/197/SIPP-
I/DPMPPTSP/2019 12-Agu-19 KOMANG SANISCA NUANSAMEGAROSTINI
BD. DAUH MARGI, DS. PEMARON, KEC.
BULELENG RUMAH SAKIT BALIMED BULELENG Izin Praktek Perawat
198 503-38.6/198/SIPP-
I/DPMPPTSP/2019 23-Agu-19 Ns. WENDY
MARHAENITA, S. Kep BD. SUBUK, DS. SUBUK, KEC. BUSUNGBIU RSU KERTHA USADA Izin Praktek Perawat
199 503-38.6/199/SIPP-
I/DPMPPTSP/2019 23-Agu-19 Ns. I PUTU SUBIKSA, S.
Kep BD. KAWANAN, DS. SAWAN, KEC. SAWAN RSU KERTHA USADA Izin Praktek Perawat 200 503-38.6/200/SIPP-
I/DPMPPTSP/2019 23-Agu-19 Ns. I KADEK SUASTIKA,
S. Kep BD. BANGAH, DS. PANJI, KEC. SUKASADA RSU KERTHA USADA Izin Praktek Perawat 201 503-38.6/201/SIPP-
I/DPMPPTSP/2019 23-Agu-19 I KOMANG ADI BUDIARTHA
PERUM SUNARI 6 NO. II, BD. KEMBANG
SARI, DS. PANJI, KEC. SUKASADA RSU KERTHA USADA Izin Praktek Perawat 202 503-38.6/202/SIPP-
I/DPMPPTSP/2019 27-Agu-19 NI KETUT TRIMI BD. BULAKAN, DS. MUNDUK, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktek Perawat 203 503-38.6/203/SIPP-
I/DPMPPTSP/2019 27-Agu-19 NI KETUT PUTRI
ARIYATI BD. DESA, DS. KAYUPUTIH, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktek Perawat 204 503-38.6/204/SIPP-
I/DPMPPTSP/2019 27-Agu-19 NI MADE DWI SUKMA
DEWI BD. TAMAN, DS. KAYUPUTIH, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktek Perawat 205 503-38.6/205/SIPP-
I/DPMPPTSP/2019 27-Agu-19 AHMAD SYAIFUL. Amd.
Kep
GG. MENUH, BD. KALIBUKBUK, RT 09, DS.
KALIBUKBUK, KEC. BULELENG KLINIK UTAMA DHARMANATHA Izin Praktek Perawat 206 503-38.6/206/SIPP-
I/DPMPPTSP/2019 27-Agu-19 MADE SATRIA JAYA BD. DANGIN MARGI, DS. TAMPEKAN, KEC.
BANJAR RSU SANTHI GRAHA Izin Praktek
Perawat
207 503-38.6/207/SIPP-
I/DPMPPTSP/2019 27-Agu-19 TRI DEWI PERMATASARI
BD. TEGALSARI, DS. SULANYAH, KEC.
SERIRIT RSU. SHANTI GRAHA Izin Praktek
Perawat 208 503-38.6/208/SIPP-
I/DPMPPTSP/2019 27-Agu-19 NI NYOMAN GITA TRISNA DEWI
BD. BROMBONG, DS. CELUKAN BAWANG,
KEC. GEROKGAK RSU SANTHI GRAHA Izin Praktek
Perawat 209 503-38.6/209/SIPP-
I/DPMPPTSP/2019 27-Agu-19 LUH MITA ANGGRENI BD. KANGINAN, DS. TEJAKULA, KEC.
TEJAKULA RSU. KARYA DHARMA HUSADA Izin Praktek
Perawat 210 503-38.6/210/SIPP-
I/DPMPPTSP/2019 27-Agu-19 Ns. NI KETUT ARI KURIARTINI, S. Kep
JL. IMAM BONJOL NO. 12, KEL. BANJAR
BALI, KEC. BULELENG Ns. NI KETUT ARI KURIARTINI, S. Kep Izin Praktek Perawat
211 503-38.6/211/SIPP-
I/DPMPPTSP/2019 27-Agu-19 NI KADEK YULI DHARMAYANTI
JL. P. KOMODO GG. MAHONI RT 01, LINGK.
BANUNING, KEL. BANYUNING, KEC.
BULELENG
RSU. KARYA DHARMA HUSADA Izin Praktek Perawat
212 503-38.6/212/SIPP-
I/DPMPPTSP/2019 28-Agu-19 NI LUH AYU WIRDANINGSIH
JL. P. KOMODO GG. MAHONI, LINGK.
BANYUNING TIMUR, KEL. BANYUNING, KEC.
BULELENG
RSU. KARYA DHARMA HUSADA Izin Praktek Perawat
213 503-38.6/213/SIPP-
I/DPMPPTSP/2019 28-Agu-19 KETUT MAYUN SINTA SEPTIARI
BD. BABAKAN, DS. SAMBANGAN, KEC.
SUKASADA RSU KARYA DHARMA HUSADA Izin Praktek
Perawat 214 503-38.6/214/SIPP-
I/DPMPPTSP/2019 28-Agu-19 PUTU WAHYU WIJA ATMIKA
BD. ASAH BADUNG, DS. SEPANG KELOD,
KEC. BUSUNGBIU RSU KARYA DHARMA HUSADA Izin Praktek Perawat
215 503-38.6/215/SIPP-
I/DPMPPTSP/2019 28-Agu-19 DESAK AYU MADE DESIMIATI
JL. P. KOMODO GG. MAHONI RT 01, LINGK.
BANYUNING, KEL. BANYUNING, KEC.
BULELENG
RSU KARYA DHARMA HUSADA Izin Praktek Perawat
216 503-38.6/216/SIPP-
I/DPMPPTSP/2019 28-Agu-19 NI KADEK ANGGI PUSPAWATI
JL. P. KOMODO GG. MAHONI RT 01, KEL
BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat
217 503-38.6/217/SIPP-
I/DPMPPTSP/2019 28-Agu-19 I WAYAN SUGI ARTHANA, S.Kep
JL. P. KOMODO GG. MAHONI RT. 01 LINK.
BANYUNING TIMUR, KEL. BANYUNING, KEC.
BULELENG
RSU. KARYA DHARMA HUSADA Izin Praktek Perawat
218 503-38.6/218/SIPP-
I/DPMPPTSP/2019 28-Agu-19 I WAYAN SUNARTA JL. P. KOMODO GG. MAHONI RT 01, KEL.
BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 219 503-38.6/219/SIPP-
I/DPMPPTSP/2019 28-Agu-19 LUH NETHA HARDINIA BD. PASEK, DS. KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN RSU KARYA DHARMA HUSADA Izin Praktek
Perawat
220 503-38.6/220/SIPP-
I/DPMPPTSP/2019 29-Agu-19 DEWA GEDE YADNYA SAPUTRA
BTN GRIA KEROBOKAN PERMAI BLOK F NO.
2, BD. BALEAGUNG, DS. KEROBOKAN, KEC.
SAWAN
RSU KERTHA USADA Izin Praktek Perawat
221 503-38.6/221/SIPP-
I/DPMPPTSP/2019 29-Agu-19 NOVITA ANGGRAINI JL. SRIKANDI GG. DURIAN SINGARAJA RSU KERTHA USADA Izin Praktek Perawat 222 503-38.6/222/SIPP-
I/DPMPPTSP/2019 09-Sep-19 I MADE ARIANA WEDANA
BD. BAJANGAN, DS. DENCARIK, KEC.
BANJAR RS. BALIMED BULELENG Izin Praktek
Perawat
223 503-38.6/223/SIPP-
I/DPMPPTSP/2019 09-Sep-19 NGAKAN KETUT HARTA SUYASA
BD. BANYUALIT, DS. KALIBUKBUK, KEC.
BULELENG PUSKESMAS BULELENG II Izin Praktek
Perawat 224 503-38.6/224/SIPP-
I/DPMPPTSP/2019 09-Sep-19 I KADEK ARIAWAN BD. KAYUPUTIH, DS. KAYUPUTIH, KEC.
SUKASADA PUSKESMAS BULELENG II Izin Praktek
Perawat 225 503-38.6/225/SIPP-
I/DPMPPTSP/2019 09-Sep-19 NOVI KARMILA BD. SUMBER KLAMPOK, DS. SUMBER
KELAMPOK, KEC. GEROKGAK RSUD KABUPATEN BULELENG Izin Praktek Perawat 226 503-38.6/226/SIPP-
I/DPMPPTSP/2019 09-Sep-19 LUH LINA MARTINI BD. SANIH, DS. PENGLATAN, KEC.
BULELENG RSU SHANTI GRAHA Izin Praktek
Perawat 227 503-38.6/227/SIPP-
I/DPMPPTSP/2019 09-Sep-19 ARI WAHYU CAHYONO BD. MUNDUK KUNCI, DS. TEGALLINGGAH,
KEC. SUKASADA RSU. KERTHA USADA Izin Praktek
Perawat
228 503-38.6/228/SIPP-
I/DPMPPTSP/2019 09-Sep-19 MADE NONIK ARI SUGIARTI
JL. SUDIRMAN GG. III NO. 43 SINGARAJA,
KEL. BANYUARI, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat
229 503-38.6/229/SIPP-
I/DPMPPTSP/2019 09-Sep-19 M. HASYIM BD. BATUAGUNG, DS. GEROKGAK, KEC.
GEROKGAK RSU KERTHA USADA Izin Praktek
Perawat 230 503-38.6/230/SIPP-
I/DPMPPTSP/2019 09-Sep-19 LUH EVA RIANI BD. DANGIN YEH, DS. GIRI EMAS, KEC.
SAWAN RSU. KERTHA USADA Izin Praktek
Perawat 231 503-38.6/231/SIPP-
I/DPMPPTSP/2019 09-Sep-19 NI PUTU VERA SAWITRI
JL. P. SUGRA GG. VII/2 SINGARAJA, KEL.
KAMPUNG BARU, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat 232 503-38.6/232/SIPP-
I/DPMPPTSP/2019 09-Sep-19 PUTU DEVI KOMALASARI
JL. SRIKANDI GG. JAMBU NO. 3, DS.
BAKTISERAGA, KEC. BULELENG RSU. KERTHA USADA Izin Praktek Perawat 233 503-38.6/233/SIPP-
I/DPMPPTSP/2019 09-Sep-19 NI KETUT URI SUASTINI BD. DESA, DS. BEBETIN, KEC. SAWAN RSU. KERTHA USADA Izin Praktek Perawat 234 503-38.6/234/SIPP-
I/DPMPPTSP/2019 09-Sep-19 I KETUT DORBIANA BTN GRAHA PANJI ASRI 2 BLOK B6, BD.
BANGAH, DS. PANJI, KEC. SUKASADA RSU KERTHA USADA Izin Praktek Perawat 235 503-38.6/235/SIPP-
I/DPMPPTSP/2019 09-Sep-19 LUKMAN HARUN JL. TEKUKUR NO. 1O, KEL. KALIUNTU, KEC.
BULELENG RSU. KERTHA USADA Izin Praktek
Perawat 236 503-38.6/236/SIPP-
I/DPMPPTSP/2019 09-Sep-19 KADEK ARIF SURYA AFANDI
BD. BUKIT TELU, DS. BENGKEL, KEC.
BUSUNGBIU RSU. KERTHA USADA Izin Praktek
Perawat
237 503-38.6/237/SIPP-
II/DPMPPTSP/2019 12-Sep-19 NI MADE SUPRIYANI BD. KAJEKANGIN, DS. KUBUTAMBAHAN, KEC. KUBUTAMBAHAN
BD. KAJEKANGIN, DS. KUBUTAMBAHAN, KEC. KUBUTAMBAHAN
Izin Praktek Perawat
238 503-38.6/238/SIPP-
I/DPMPPTSP/2019 17-Sep-19 KUSUMO ESTRI PAMUNGKAS
JL. LAKSAMANA GG. DEWI KUNTI, DSN.
TISTA, DS. BAKTISERAGA, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat
239 503-38.6/239/SIPP-
I/DPMPPTSP/2019 17-Sep-19 I KADEK DWI PUTRA ANTARA
JL. GEMPOL GG. MASULA MASULI NO. 106
H, KEL. BANYUNING, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat
240 503-38.6/240/SIPP-
I/DPMPPTSP/2019 17-Sep-19 GEDE AGUS BUDIARTA BD. CELUKBULUH, DS. KALIBUKBUK, KEC.
BULELENG RSU KARYA DHARMA HUSADA Izin Praktek
Perawat 241 503-38.6/241/SIPP-
I/DPMPPTSP/2019 17-Sep-19 I LUH AFRIDA ARIANTI BD. KAUHAN, DS. KEKERAN, KEC.
BUSUNGBIU RSU SHANTI GRAHA Izin Praktek
Perawat 242 503-38.6/242/SIPP-
I/DPMPPTSP/2019 19-Sep-19 NI KETUT SUCIARI JL. P. KOMODO GG. ADITYA NO. 15A, KEL.
BANYUNING, KEC. BULELENG RUMAH SAKIT TK IV SINGARAJA Izin Praktek Perawat 243 503-38.6/243/SIPP-
I/DPMPPTSP/2019 19-Sep-19 I GEDE SWARDA DSN. SABI, DS. SUWUG, KEC. SAWAN RUMAH SAKIT TK IV SINGARAJA Izin Praktek Perawat 244 503-38.6/244/SIPP-
I/DPMPPTSP/2019 19-Sep-19 PUTU ARTIASA BD. PUSPAJATI, DS. GUNUNG SARI, KEC.
SERIRIT RUMAH SAKIT TK IV SINGARAJA Izin Praktek Perawat 245 503-38.6/245/SIPP-
I/DPMPPTSP/2019 19-Sep-19 PUTU SUWECA BD. PANGKUNG PARUK, DS. PANGKUNG
PARUK, KEC. SERIRIT RUMAH SAKIT TK IV SINGARAJA Izin Praktek Perawat 246 503-38.6/246/SIPP-
I/DPMPPTSP/2019 19-Sep-19 ISKANDAR
SULKARNAIN DS. TEGALLINGGAH, KEC. SUKASADA RUMAH SAKIT TK IV SINGARAJA Izin Praktek Perawat 247 503-38.6/247/SIPP-
I/DPMPPTSP/2019 19-Sep-19 GEDE KAYUN JL. LAKSAMANA, KEL. BANJAR TEGAL, KEC.
BULELENG RUMAH SAKIT TK IV SINGARAJA Izin Praktek Perawat 248 503-38.6/248/SIPP-
I/DPMPPTSP/2019 19-Sep-19 KADEK JUWITA RATNA
DEWI BD. NYUH, DS. LEMUKIH, KEC. SAWAN RSUD KAB. BULELENG Izin Praktek Perawat 249 503-38.6/249/SIPP-
I/DPMPPTSP/2019 19-Sep-19 LUH WINDA WULANDARI
BD. ABIAN, DS. BANJAR TEGEHA, KEC.
BANJAR RSUD KAB. BULELENG Izin Praktek
Perawat 250 503-38.6/250/SIPP-
I/DPMPPTSP/2019 19-Sep-19 NI NYOMAN SUMIATI BD. DAJAN MARGI, DS. NAGASEPEHA, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktek
Perawat
251 503-38.6/251/SIPP-
I/DPMPPTSP/2019 19-Sep-19 SUMAMIK
BTN BALEMUANSA INDAH BLOK B.C 120 BABAKAN, DS. SAMBANGAN, KEC.
SUKASADA
RSUD KAB. BULELENG Izin Praktek Perawat
252 503-38.6/252/SIPP-
I/DPMPPTSP/2019 19-Sep-19 NI MADE SUTERMI BD. DESA, DS. BEBETIN, KEC. SAWAN RSUD KAB. BULELENG Izin Praktek Perawat 253 503-38.6/253/SIPP-
I/DPMPPTSP/2019 23-Sep-19 PUTU ANTON JAYADI BD. GESING I, DS. GESING, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktek Perawat 254 503-38.6/254/SIPP-
I/DPMPPTSP/2019 25-Sep-19 NYOMAN SUDARSANA YASA
JL. GAJAH MADA NO. 120 SINGARAJA, KEL.
BANJAR JAWA, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
255 503-38.6/255/SIPP-
II/DPMPPTSP/2019 26-Sep-19 Ns. I KADEK SANI RETA ADNYANA S. Kep
BD. SANDI KERTHA, DS. PEJARAKAN, KEC.
GEROKGAK
BD. SANDI KERTHA, DS. PEJARAKAN, KEC.
GEROKGAK
Izin Praktek Perawat
256 503-38.6/256/SIPP-
I/DPMPPTSP/2019 30-Sep-19 KETUT DEWI SURYANI BD. DAWAN, DS. KALIANGET, KEC. SERIRIT PUSKESMAS SERIRIT III Izin Praktek Perawat 257 503-38.6/257/SIPP-
I/DPMPPTSP/2019 30-Sep-19 NI KADEK SRI YULIANI BD. INSAKAN, DS. PEDAWA, KEC BANJAR PUSKESMAS SERIRIT III Izin Praktek Perawat
258 503-38.6/258/SIPP-
I/DPMPPTSP/2019 30-Sep-19 NI PUTU LIA ERLIANA BD. KAJANA, DS. JOANYAR, KEC. SERIRIT PUSKESMAS SERIRIT II Izin Praktek Perawat 259 503-38.6/259/SIPP-
I/DPMPPTSP/2019 30-Sep-19 I PUTU SUDIARNIKA BD. TAMAN SARI, DS. SULANYAH, KEC.
SERIRIT PUSKESMAS SERIRIT II Izin Praktek
Perawat 260 503-38.6/260/SIPP-
I/DPMPPTSP/2019 02-Okt-19 MADE SURYA ARDANA BD. TAMAN SARI, DS. SANGGALANGIT, KEC.
GEROKGAK RUMAH SAKIT PRATAMA TANGGUWISIA Izin Praktek Perawat 261 503-38.6/261/SIPP-
I/DPMPPTSP/2019 02-Okt-19 AENUR RAFIQ BD. YEH PANES, DS. PATAS, KEC. GEROKGAK RUMAH SAKIT PRATAMA TANGGUWISIA Izin Praktek Perawat
262 503-38.6/262/SIPP-
I/DPMPPTSP/2019 03-Okt-19 I GEDE NOVI KARTAMA
BTN TAMAN WIRA SAMBANGAN BLOK J 3 NO. 6, BD. BANGAH, DS. PANJI, KEC.
SUKASADA
RSU KERTHA USADA Izin Praktek Perawat
263 503-38.6/263/SIPP-
I/DPMPPTSP/2019 04-Okt-19
NS. KETUT DEDIK SUSADHY ARYASTA,
S.KEP
BD. YEH PANES, DS. PATAS, KEC. GEROKGAK PUSKESMAS GEROKGAK I Izin Praktek Perawat
264 503-38.6/264/SIPP-
I/DPMPPTSP/2019 04-Okt-19 DESAK KADEK SRI
ADNYANI BD. SATRIA, DS. BUNGKULAN, KEC. SAWAN RSU. KERTHA USADA Izin Praktek Perawat 265 503-38.6/265/SIPP-
I/DPMPPTSP/2019 04-Okt-19 NI MADE RISKA WIDHARIANTI
BD. DAUH MARGI, DS. BULIAN, KEC.
KUBUTAMBAHAN RSU. KERTHA USADA Izin Praktek
Perawat 266 503-38.6/266/SIPP-
I/DPMPPTSP/2019 08-Okt-19 Ns. NYOMAN SEPIRA,
S. Kep BD. KANGINAN, DS. SAWAN, KEC. SAWAN PUSKESMAS SAWAN II Izin Praktek Perawat 267 503-38.6/267/SIPP-
I/DPMPPTSP/2019 08-Okt-19 Ns. NYOMAN SEPIRA,
S. Kep BD. KANGINAN, DS. SAWAN, KEC. SAWAN BD. KANGINAN, DS. SAWAN, KEC.
SAWAN
Izin Praktek Perawat
268 503-38.6/268/SIPP-
I/DPMPPTSP/2019 10-Okt-19
Ns. PUTU GUSANDRA YUDHA WIRATAMA, S.
Kep
BD. BABAKAN GG. MARKISA NO. 2, DS.
SAMBANGAN, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat
269 503-38.6/269/SIPP-
I/DPMPPTSP/2019 16-Okt-19 NI KETUT SUKARYANTI JL. SRIKANDI GG. DURIAN BLOK A C6
SINGARAJA, PUSKESMAS BULELENG I Izin Praktek
Perawat 270 503-38.6/270/SIPP-
I/DPMPPTSP/2019 16-Okt-19 NI LUH BUDIASIH BD. GITGIT, DS. GITGIT, KEC. SUKASADA PUSKESMAS BULELENG I Izin Praktek Perawat 271 503-38.6/271/SIPP-
I/DPMPPTSP/2019 16-Okt-19 WAYAN SUKARSA JL. P. KOMODO GG. PIR NO. 6, KEL.
BANYUNING, KEC. BULELENG PUSKESMAS BULELENG I Izin Praktek Perawat 272 503-38.6/272/SIPP-
I/DPMPPTSP/2019 16-Okt-19 KOMANG TRESNIANTI BD. LEBAH, DS. KALIASEM, KEC. BANJAR RSUD KAB. BULELENG Izin Praktek Perawat 273 503-38.6/273/SIPP-
I/DPMPPTSP/2019 16-Okt-19 Ns. NI LUH PADMINI, S.Kep
JL. BEKISAR NO. 29 SINGARAJA, DS.
BAKTISERAGA, KEC. BULELENG PUSKESMAS BULELENG I Izin Praktek Perawat 274 503-38.6/274/SIPP-
I/DPMPPTSP/2019 16-Okt-19 NI PUTU SOERYANI PARWATI
JL. LAKSAMANA GG. DEWI SITA NO. 3, KEL.
BANJAR TEGAL, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
275 503-38.6/275/SIPP-
I/DPMPPTSP/2019 16-Okt-19 NI LUH GEDE HARMINI JL. GEMPOL GG. MASULA MASULI BLOK B
NO. 12, KEL. BANYUNING, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
276 503-38.6/276/SIPP-
I/DPMPPTSP/2019 16-Okt-19 I GUSTI AYU KOPANG SURIASMINI
BD. KASUT KATIASA, DS. PEGADUNGAN,
KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek
Perawat
277 503-38.6/277/SIPP-
I/DPMPPTSP/2019 17-Okt-19 Ns. MADE SINGAYASA, S. Kep
BD. PEMAROAN, DS. PATEMON, KEC.
SERIRIT PUSKESMAS SERIRIT I Izin Praktek
Perawat 278 503-38.6/278/SIPP-
II/DPMPPTSP/2019 17-Okt-19 Ns. MADE SINGAYASA, S. Kep
BD. PEMAROAN, DS. PATEMON, KEC.
SERIRIT
BD. PEMAROAN, DS. PATEMON, KEC.
SERIRIT
Izin Praktek Perawat 279 503-38.6/279/SIPP-
I/DPMPPTSP/2019 17-Okt-19 I NYOMAN DARMA YASA
BD. BUKIT SARI . DS. PENGULON, KEC.
GEROKGAK
BD. BUKIT SARI . DS. PENGULON, KEC.
GEROKGAK
Izin Praktek Perawat 280 503-38.6/280/SIPP-
I/DPMPPTSP/2019 17-Okt-19 Ns. LUH PUTU SRI YUNIATI, S. Kep
JL. PAHLAWAN NO. 16 SINGARAJA, KEL.
BANJAR TEGAL, KEC. BULELENG PUSKESMAS BULELENG I Izin Praktek Perawat 281 503-38.6/281/SIPP-
II/DPMPPTSP/2019 17-Okt-19 Ns. LUH PUTU SRI YUNIATI, S. Kep
JL. PAHLAWAN NO. 16 SINGARAJA, KEL.
BANJAR TEGAL, KEC. BULELENG JL. PAHLAWAN NO. 16 SINGARAJA Izin Praktek Perawat 282 503-38.6/282/SIPP-
I/DPMPPTSP/2019 17-Okt-19 NI NYOMAN SUANTINI BD. LABAK, DS. ANTURAN, KEC. BULELENG PUSKESMAS BULELENG II Izin Praktek Perawat 283 503-38.6/283/SIPP-
I/DPMPPTSP/2019 18-Okt-19 KETUT ANGGIA
DANIATI JL. SAMRATULANGI GG. MERAK SINGARAJA RSUD KAB. BULELENG Izin Praktek Perawat 284 503-38.6/284/SIPP-
I/DPMPPTSP/2019 18-Okt-19 GUSTI AGUNG PUTU MAS MARTINI
BD. DANGIN PURA, DS. PANJI, KEC.
SUKASADA RSUD KAB. BULELENG Izin Praktek
Perawat 285 503-38.6/285/SIPP-
I/DPMPPTSP/2019 23-Okt-19 I GUSTI KUKUH ARIAYASA
JL. SRIKANDI GG. DURIAN A/C 3, DS.
SAMBANGAN, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat 286 503-38.6/286/SIPP-
II/DPMPPTSP/2019 23-Okt-19 I GUSTI KUKUH ARIAYASA
JL. SRIKANDI GG. DURIAN A/C 3, DS.
SAMBANGAN, KEC. SUKASADA
JL. SRIKANDI GG. DURIAN A/C 3, DS.
SAMBANGAN, KEC. SUKASADA
Izin Praktek Perawat 287 503-38.6/287/SIPP-
I/DPMPPTSP/2019 24-Okt-19 NYOMAN APRI WIKAN YADNYA
BD. DAJAN MARGI, DS. SARIMEKAR, KEC.
BULELENG RS PRATAMA GIRI EMAS Izin Praktek
Perawat 288 503-38.6/288/SIPP-
I/DPMPPTSP/2019 24-Okt-19 I KETUT PURNA SENTANA
PERUM SRIKANDI BLOK C/10, DS.
BAKTISERAGA, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat 289 503-38.6/289/SIPP-
I/DPMPPTSP/2019 24-Okt-19 TRISNA OKTAVIANI BD. KAYUPUTIH, DS. KAYUPUTIH, KEC.
SUKASADA RSU KERTHA USADA Izin Praktek
Perawat 290 503-38.6/290/SIPP-
I/DPMPPTSP/2019 24-Okt-19 I WAYAN PUTRA YASA JL. P. OBI, GG. KRESNA, LINGK. BANYUNING
TIMUR, KEL. BANYUNING RSU KERTHA USADA Izin Praktek
Perawat
291 503-38.6/291/SIPP-
I/DPMPPTSP/2019 24-Okt-19 I PUTU DWI JAYANTIKA PERUM. NUANSA PADI PERMAI NO. 9 BD.
BABAKAN, DS. PANJI, KEC. SUKASADA RSU KERTHA USADA Izin Praktek Perawat
292 503-38.6/292/SIPP-
I/DPMPPTSP/2019 30-Okt-19 I MADE ASMIKA DANA BD. MUNDUK, DS. ANTURAN, KEC.
BULELENG PUSKESMAS BULELENG II Izin Praktek
Perawat 293 503-38.6/293/SIPP-
I/DPMPPTSP/2019 31-Okt-19 I PUTU EVA JANA FEBRI CAHYADHI
JL. P. KOMODO 128, KEL. BANYUNING, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktek
Perawat 294 503-38.6/294/SIPP-
I/DPMPPTSP/2019 31-Okt-19 KADEK DINA KUSUMAWATI
BD. KETUG KETUG, DS. JINENGDALEM, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktek
Perawat 295 503-38.6/295/SIPP-
I/DPMPPTSP/2019 31-Okt-19 IDA AYU KADE
MERIADNYANI DEWI BD. KANGINAN, DS. SAWAN, KEC. SAWAN RSUD KAB. BULELENG Izin Praktek Perawat 296 503-38.6/296/SIPP-
I/DPMPPTSP/2019 31-Okt-19 KETUT CATUR WIGUNA
BD. KAWANAN, DS. TEJAKULA, KEC.
TEJAKULA RSUD KAB. BULELENG Izin Praktek
Perawat 297 503-38.6/297/SIPP-
I/DPMPPTSP/2019 31-Okt-19 NYOMAN RESTIKA YASA
BD. BATU DINGDING, DS. PEGADUNGAN,
KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek
Perawat 298 503-38.6/298/SIPP-
I/DPMPPTSP/2019 31-Okt-19 I PUTU OGI PERMANA BD. SARI MEKAR, DS. PEMUTERAN, KEC.
GEROKGAK RSUD KAB. BULELENG Izin Praktek
Perawat 299 503-38.6/299/SIPP-
I/DPMPPTSP/2019 31-Okt-19 KOMANG ADI
APRIHANTARA BD. KANGINAN, DS. SAWAN, KEC. SAWAN RSUD KAB. BULELENG Izin Praktek Perawat 300 503-38.6/300/SIPP-
I/DPMPPTSP/2019 31-Okt-19 I GEDE AGUS TRIAWAN BD. BALE AGUNG, DS. UNGGAHAN, KEC.
SERIRIT RSUD KAB. BULELENG Izin Praktek
Perawat 301 503-38.6/301/SIPP-
I/DPMPPTSP/2019 31-Okt-19 PUTU ERNA OKTARIYANTY
BD. DANGIN MARGI, DS. PEMARON, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktek
Perawat 302 503-38.6/302/SIPP-
I/DPMPPTSP/2019 31-Okt-19 DEWA NYOMAN ADI NEGARA
BTN BALE NUANSA INDAH, DS.
SAMBANGAN, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat 303 503-38.6/303/SIPP-
I/DPMPPTSP/2019 31-Okt-19 WIYATI BTN KARTIKA KENCANA BLOK II NO. 16, DS.
PANJI, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat 304 503-38.6/304/SIPP-
I/DPMPPTSP/2019 06-Nov-19 I GEDE JULIANDI PERMANA
BD. KAJA KAUH, DS. TAMBLANG, KEC.
KUBUTAMBAHAN RSUD KAB. BULELENG Izin Praktek
Perawat 305 503-38.6/305/SIPP-
I/DPMPPTSP/2019 07-Nov-19 MADE YOGI DIRGHA NUGRAHA
BD. LABUHAN AJI, DS, TEMUKUS, KEC.
BANJAR RSU PARAMA SIDHI Izin Praktek
Perawat 306 503-38.6/306/SIPP-
I/DPMPPTSP/2019 07-Nov-19 KETUT YUNI ANGGARIYANI
LINGK. BAKUNG, KEL. SUKASADA, KEC.
SUKASADA RSU PARAMA SIDHI Izin Praktek
Perawat
307 503-38.6/307/SIPP-
I/DPMPPTSP/2019 07-Nov-19 KOMANG SUARMINI, AMD, KEP
BD. PASEK, DS. KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN RSU PARAMA SIDHI Izin Praktek
Perawat
308 503-38.6/308/SIPP-
I/DPMPPTSP/2019 07-Nov-19 KOMANG AGUS TRI WARDANA
BD. TEGEGE, DS. PAKISAN, KEC.
KUBUTABAHAN RSU PARAMA SIDHI Izin Praktek
Perawat 309 503-38.6/309/SIPP-
I/DPMPPTSP/2019 07-Nov-19 KADEK DWI SEPTAYANI BD. DAUH MUNDUK, DS. BUNGKULAN, KEC.
SAWAN RSU PARAMA SIDHI Izin Praktek
Perawat
310 503-38.6/310/SIPP-
I/DPMPPTSP/2019 07-Nov-19 NI KADEK LISTYA DEWI BD. BALEDANA, DS. TITAB, KEC. BUSUNGBIU RSU PARAMA SIDHI Izin Praktek Perawat 311 503-38.6/311/SIPP-
I/DPMPPTSP/2019 07-Nov-19 GUSTI AYU PUTU BUDIANINGSIH
BD. DANGIN MARGI, DS. PEMARON, KEC.
BULELENG RSU PARAMA SIDHI Izin Praktek
Perawat 312 503-38.6/312/SIPP-
I/DPMPPTSP/2019 07-Nov-19 STYO RAHMA WIJAYANTO
JL. SAMUDRA INDAH, BD. DAUH MARGI, DS.
PEMARON, KEC. BULELENG RSU PARAMA SIDHI Izin Praktek
Perawat 313 503-38.6/313/SIPP-
I/DPMPPTSP/2019 11-Nov-19 NI KOMANG EFI ARTIKA DEWI
BD. WIDARBASARI, DS. PADANGBULIA, KEC.
SUKASADA RSU. PARAMA SIDHI Izin Praktek
Perawat 314 503-38.6/314/SIPP-
I/DPMPPTSP/2019 13-Nov-19 IDA BAGUS PUTU RAI SURYAWAN
BD. LABA AMERTA, DS. PANGKUNG PARUK,
KEC. SERIRIT PUSKESMAS SERIRIT III Izin Praktek
Perawat
315 503-38.6/315/SIPP-
I/DPMPPTSP/2019 13-Nov-19 GEDE WIDIANTHARA PUTRA
LINGK. LUMBANAN, KEL. SUKASADA, KEC.
BULELENG RSU SHANTI GRAHA Izin Praktek
Perawat
316 503-38.6/316/SIPP-
I/DPMPPTSP/2019 18-Nov-19 I KADEK SUMADI BD. LABA AMERTA, DS. PANGKUNG PARUK,
KEC. SERIRIT RSU. PARAMA SIDHI Izin Praktek
Perawat 317 503-38.6/317/SIPP-
I/DPMPPTSP/2019 22-Nov-19 PUTU DEVA KUSUMA YANA
BD. PUNDUH SANGSIT, DS. BUNGKULAN,
KEC. SAWAN RSUD KAB. BULELENG Izin Praktek
Perawat 318 503-38.6/318/SIPP-
I/DPMPPTSP/2019 22-Nov-19 KETUT EDI WIDNYANA BD. BANYUALIT, DS. KALIBUKBUK, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktek
Perawat 319 503-38.6/319/SIPP-
I/DPMPPTSP/2019 22-Nov-19 PUTU KARIANTA BD. MERTA SARI, DS. PATAS, KEC.
GEROKGAK RSUD KAB. BULELENG Izin Praktek
Perawat 320 503-38.6/320/SIPP-
I/DPMPPTSP/2019 22-Nov-19 MADE AGUS SUHENDRA
DSN. TAGAL SARI, DS. TANGGUWISIA, KEC.
SERIRIT RSUD KAB. BULELENG Izin Praktek
Perawat 321 503-38.6/321/SIPP-
I/DPMPPTSP/2019 25-Nov-19 KADEK DIKA SURYADINATA
JL. SUDIRMAN GG. VI/5D SINGARAJA, KEL.
BANYUASRI, KEC. BULELENG RSU KARYA DHARMA HUSADA Izin Praktek Perawat 322 503-38.6/322/SIPP-
I/DPMPPTSP/2019
04 Desember 2019
KOMANG ADUNG SAPTANI
BD. PUNDUH LO, DS. BUNGKULAN, KEC.
SAWAN PUSKESMAS SAWAN II Izin Praktek
Perawat 323 503-38.6/323/SIPP-
I/DPMPPTSP/2019
04 Desember 2019
DESAK MADE ERNA
ULANDARI BD. SEPANG, DS. SEPANG, KEC. BUSUNGBIU PUSKESMAS SERIRIT II Izin Praktek Perawat 324 503-38.6/324/SIPP-
I/DPMPPTSP/2019
04 Desember
2019 NI LUH SORNINGSIH BD. KAJA KAUH, DS. TAMBLANG, KEC.
KUBUTAMBAHAN PUSKESMAS KUBUTAMBAHAN II Izin Praktek Perawat 325 503-38.6/325/SIPP-
I/DPMPPTSP/2019
04 Desember
2019 I NENGAH TENANG BD. TAMPUL LAWANG, DS. TAJUN, KEC.
KUBUTAMBAHAN PUSKESMAS KUBUTAMBAHAN II Izin Praktek Perawat 326 503-38.6/326/SIPP-
I/DPMPPTSP/2019
09 Desember
2019 KETUT ARTA DIPA BD. ABASAN, DS. PANJI ANOM, KEC.
SUKASADA RSU. KERTHA USADA Izin Praktek
Perawat 327 503-38.6/327/SIPP-
I/DPMPPTSP/2019
13 Desember
2019 LILA PUSPITASARI BD. TEGALSARI, DS. SULANYAH, KEC.
SERIRIT RSU. SHANTI GRAHA Izin Praktek
Perawat
328 503-38.6/328/SIPP- I/DPMPPTSP/2019
16 Desember 2019
FERRINTINA EKA
PUSPITA SARI WIONO BD. DESA, DS. BANYUSERI, KEC. BANJAR RSUD KAB. BULELENG Izin Praktek Perawat
329 503-38.6/329/SIPP- I/DPMPPTSP/2019
16 Desember 2019
MADE GAWATRININGSIH
JL. KAPTEN MUKA 6 SINGARAJA, KEL.
BANJAR JAWA, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
330 503-38.6/330/SIPP- I/DPMPPTSP/2019
17 Desember 2019
LUH KAMA HANDAYANI
LINGK. JINENG AGUNG, KEL. GILIMANUK,
KEC. MELAYA, KAB. JEMBRANA PUSKESMAS GEROKGAK II Izin Praktek Perawat
331 503-38.6/331/SIPP- II/DPMPPTSP/2019
31 Desember 2019
NS. I MADE WEDIA, S.KEP
LINGK. LUMBANAN, KEL. SUKASADA, KEC.
BULELENG
LINGK. LUMBANAN, KEL. SUKASADA, KEC. BULELENG
Izin Praktek Perawat 332 503-38.6/332/SIPP-
I/DPMPPTSP/2019
31 Desember 2019
NS. I MADE WEDIA, S.KEP
LINGK. LUMBANAN, KEL. SUKASADA, KEC.
BULELENG RS. TK. IV SINGARAJA Izin Praktek
Perawat
333 503-38.6/333/SIPP- II/DPMPPTSP/2019
31 Desember 2019
GEDE WIDIANTHARA PUTRA
LINGK. LUMBANAN, KEL. SUKASADA, KEC.
BULELENG
LINGK. LUMBANAN, KEL. SUKASADA, KEC. BULELENG
Izin Praktek Perawat
334 503-38.6/334/SIPP- I/DPMPPTSP/2019
31 Desember 2019
I PUTU WEMA PRADI UTAMA
BD. ALAS HARUM, DS. KALIANGET, KEC.
SERIRIT RSU SHANTI GRAHA Izin Praktek
Perawat 335 503-38.6/335/SIPP-
II/DPMPPTSP/2019
31 Desember 2019
FERRY RAHATMA AFINANDA
JL. WISNU GG. CIPTA, KEL. SERIRIT, KEC.
SERIRIT RSU SHANTI GRAHA Izin Praktek
Perawat 336 503-38.6/336/SIPP-
I/DPMPPTSP/2019
31 Desember
2019 DANIS SYAIFUDIN BD. TEGAL SARI, DS. SULANYAH, KEC.
SERIRIT RSU SHANTI GRAHA Izin Praktek
Perawat 337 503-38.6/337/SIPP-
I/DPMPPTSP/2019
31 Desember
2019 LUH AYU SRIWIDANI BD. SUBUK, DS. SUBUK, KEC. BUSUNGBIU RSU SHANTI GRAHA Izin Praktek Perawat 338 503-38.6/338/SIPP-
I/DPMPPTSP/2019
31 Desember 2019
NI PUTU AYU OKTA ARYANTI
BD. ALAS HARUM, DS. KALIANGET, KEC.
SERIRIT RSU SHANTI GRAHA Izin Praktek
Perawat