No No Izin Tercetak Tanggal
Penetapan Nama Alamat Pemohon Lokasi Praktik Jenis Izin
1
503-
38.8/177/SIPB/DPMPPTSP/20 19
01-Okt-19 PUTU EMA DARMA YANTI BD. KANGINAN, DS. SEMBIRAN, KEC.
TEJAKULA RSUD KAB. BULELENG Izin Praktik Bidan
2
503-
38.8/178/SIPB/DPMPPTSP/20 19
07-Okt-19 NI KETUT SERIASTUTI BD. TENGAH, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
3
503-
38.8/179/SIPB/DPMPPTSP/20 19
07-Okt-19 NI LUH PUTU KRISTIANI BD. UMEJERO, DS. DS. UMEJERO,
KEC. BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
4
503-
38.8/180/SIPB/DPMPPTSP/20 19
07-Okt-19 NI KADEK SRI PUSPHA RUHNI
BD. PELAPUAN, DS. PELAPUAN, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
5
503-
38.8/181/SIPB/DPMPPTSP/20 19
07-Okt-19 I GUSTI AYU SUGIHARTI BD. DANGIN MARGI, DS. PEMARON,
KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
6
503-
38.8/182/SIPB/DPMPPTSP/20 19
07-Okt-19 LUH SRI MULIASIH BD. BALEAGUNG, DS. KEROBOKAN,
KEC. SAWAN RSUD KAB. BULELENG Izin Praktik Bidan
7
503-
38.8/183/SIPB/DPMPPTSP/20 19
07-Okt-19 LUH PUTU RANI YESINTA, SST
JL. GEMPOL GG. CAMAR NO. 7 BANYUNING BARAT, KEL.
BANYUNING, KEC. BULELENG
RSUD KAB. BULELENG Izin Praktik Bidan
8
503-
38.8/184/SIPB/DPMPPTSP/20 19
07-Okt-19 NI NYOMAN SENI
UMARIYANI BD. BEJI, DS. SANGSIT, KEC. SAWAN RSUD KAB. BULELENG Izin Praktik Bidan
9
503-
38.8/185/SIPB/DPMPPTSP/20 19
07-Okt-19 SRI HARDIYATI JL. NGURAH RAI NO. 38 SINGARAJA,
KEL. ASTINA, KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
10
503-
38.8/186/SIPB/DPMPPTSP/20 19
07-Okt-19 NI GUSTI AYU SUWENI BD. KELODAN, DS.JOANYAR, KEC.
SERIRIT RS PRATAMA TANGGUWISIA Izin Praktik Bidan SIP Bidan yang Terbit di Bulan Oktober s.d Desember 2019
11
503-
38.8/187/SIPB/DPMPPTSP/20 19
10-Okt-19 IDA AYU MADE PASTIKA UTAMI
JL. GEMPOL GG. ELANG NO. 20, LINGK. BANYUNING BARAT, KEL.
BANYUNING, KEC. BULELENG
RSUD KAB. BULELENG Izin Praktik Bidan
12
503-
38.8/188/SIPB/DPMPPTSP/20 19
10-Okt-19 NI LUH PUTU OCI WIJANINGSIH
BD. PUNDUH SANGSIT, DS.
BUNGKULAN, KEC. SAWAN RSUD KAB. BULELENG Izin Praktik Bidan
13
503-
38.8/189/SIPB/DPMPPTSP/20 19
11-Okt-19 NI KADEK YULI HARYANINGSIH, S.ST
JL. SRI RAMA NO. 28 BAKTISERAGA,
KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
14
503-
38.8/190/SIPB/DPMPPTSP/20 19
14-Okt-19 KOMANG RATIH MEGANTARI
BD. BULULADA, DS. SELAT, KEC.
SUKASADA RSUD KAB. BULELENG Izin Praktik Bidan
15
503-
38.8/191/SIPB/DPMPPTSP/20 19
14-Okt-19 KADEK PUSPITA DEWI DS. PELAPUAN, KEC. BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
16
503-
38.8/192/SIPB/DPMPPTSP/20 19
23-Okt-19 IDA AYU KADE SUBAKTININGRUM
BD. LEBAH, DS. DENCARIK, KEC.
BANJAR DS. KALIASEM Izin Praktik Bidan
17
503-
38.8/192/SIPB/DPMPPTSP/20 19
16-Okt-19 NI MADE KASTINA MERY CANDRADEWI
BD. PASAR, DS. ANTURAN, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
18
503-
38.8/193/SIPB/DPMPPTSP/20 19
16-Okt-19 YENNY HERAWATHI BD. DANGIN MARGI, DS. BULIAN,
KEC. KUBUTAMBAHAN RSUD KAB. BULELENG Izin Praktik Bidan
19
503-
38.8/194/SIPB/DPMPPTSP/20 19
16-Okt-19 PUTU AYU PASTIANTARI BANJAR SARI TENGAH, DINAS PEKEN,
DS. PANCASARI, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktik Bidan
20
503-
38.8/196/SIPB/DPMPPTSP/20 19
23-Okt-19 LUH PUTU DESY KRISMAYANTI
BD. LEBAH, DS. KALIASEM, KEC.
BANJAR
RUMAH SAKIT TK IV
SINGARAJA Izin Praktik Bidan
21
503-
38.8/197/SIPB/DPMPPTSP/20 19
24-Okt-19 NI MADE FERRA AYU KARTIKA
JL. JELANTIK GINGSIR NO. 91
BANTANG BANUA SUKASADA RSUD KAB. BULELENG Izin Praktik Bidan
22
503-
38.8/198/SIPB/DPMPPTSP/20 19
24-Okt-19 NI KOMANG SUSIANI BD. TENGAH, DS. TEMUKUS, KEC.
BANJAR RSUD KAB. BULELENG Izin Praktik Bidan
23
503-
38.8/199/SIPB/DPMPPTSP/20 19
24-Okt-19 INDAH NURMALITA SARI JL. A. YANI KAV. JALAK PUTIH II, KEL.
BANYUASRI, KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
24
503-
38.8/200/SIPB/DPMPPTSP/20 19
24-Okt-19 KADEK SERI MARIANI JL. P. SAMOSIR LINGK. BHUANASARI,
KEL. PENARUKAN, KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
25
503-
38.8/201/SIPB/DPMPPTSP/20 19
24-Okt-19 NI LUH OKTA WIDIARINI JL. SRI AMERTA GG. III DSN TISTA, DS.
BAKTISERAGA, KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
26
503-
38.8/202/SIPB/DPMPPTSP/20 19
24-Okt-19 NI MADE ANI KARTIKA, Amd, Keb
BANJAR LEBIH, DS. ASAH DUREN, KEC. PEKUTATAN, KAB. JEMBRANA
RSU KERTHA USADA
SINGARAJA Izin Praktik Bidan
27
503-
38.8/203/SIPB/DPMPPTSP/20 19
28-Okt-19 LUH MERTASARI BD. LEBAH MANTUNG, DS.
SARIMEKAR, KEC. BULELENG
BD. LEBAH MANTUNG, DS.
SARIMEKAR, KEC. BULELENG Izin Praktik Bidan
28
503-
38.8/204/SIPB/DPMPPTSP/20 19
28-Okt-19 PUTU SUSAN DEWI BD. GITGIT, DS. GITGIT, KEC.
SUKASADA
BD. GITGIT, DS. GITGIT, KEC.
SUKASADA Izin Praktik Bidan
29
503-
38.8/205/SIPB/DPMPPTSP/20 19
28-Okt-19 NI WAYAN DEWI LESTARINI
BD. PUCAK SARI, DS. PUCAK SARI,
KEC. BUSUNGBIU RSUD KABUPATEN BULELENG Izin Praktik Bidan
30
503-
38.8/206/SIPB/DPMPPTSP/20 19
30-Okt-19 GUSTI AYU KETUT DARMAWATI
BD. SARI MEKAR, DS. PEMUTERAN,
KEC. GEROKGAK PUSKESMAS GEROKGAK II Izin Praktik Bidan
31
503-
38.8/207/SIPB/DPMPPTSP/20 19
30-Okt-19 GUSTI AYU KETUT DARMAWATI
BD. SARI MEKAR, DS. PEMUTERAN, KEC. GEROKGAK
BD. SENDANG LAPANG, DS.
PEMUTERAN, KEC.
GEROKGAK
Izin Praktik Bidan
32
503-
38.8/208/SIPB/DPMPPTSP/20 19
30-Okt-19 NI KADEK RIKA BUDIARSI BD. BANTES, DS. BULIAN, KEC.
KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN I Izin Praktik Bidan
33
503-
38.8/209/SIPB/DPMPPTSP/20 19
30-Okt-19 DESAK KETUT JULIANTINI JL. SUDIRMAN GG. DEWI SINTA, DS.
BANYUASRI, KEC. BULELENG
PUSKESMAS
KUBUTAMBAHAN I Izin Praktik Bidan
34
503-
38.8/210/SIPB/DPMPPTSP/20 19
31-Okt-19 NI NYOMAN SUTRISNAWATI, SST
BD. BANYUWEDANG, DS.
PEJARAKAN, KEC. GEROKGAK
DS. PEJARAKAN, KEC.
GEROKGAK Izin Praktik Bidan
35
503-
38.8/211/SIPB/DPMPPTSP/20 19
31-Okt-19 LUH BUDIASIH BD. DANGIN MARGI, DS. PEMARON, KEC. BULELENG
BD. KELOD, DS. BUSUNGBIU,
KEC. BUSUNGBIU Izin Praktik Bidan
36
503-
38.8/212/SIPB/DPMPPTSP/20 19
06-Nov-19 KOMANG TRIKAYANI
JL. KISKINDA GG. MARKISAH I, BD.
KELOD, DS. BUSUNGBIU, KEC.
BUSUNGBIU
PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
37
503-
38.8/213/SIPB/DPMPPTSP/20 19
06-Nov-19 NI NYOMAN SUTRISNAWATI, SST
BD. BANYUWEDANG, DS.
PEJARAKAN, KEC. GEROKGAK PUSKSMAS GEROKGAK II Izin Praktik Bidan
38
503-
38.8/214/SIPB/DPMPPTSP/20 19
15-Nov-19 NI NYOMAN TRI WAHYUNINGSIH
BD. SAMBIRENTENG, DS.
SAMBIRENTENG, KEC. TEJAKULA PUSKESMAS TEJAKULA I Izin Praktik Bidan
39
503-
38.8/215/SIPB/DPMPPTSP/20 19
19-Nov-19 LUH SABAR OKTABRIYANI BD. DALEM, DS. SINABUN, KEC.
SAWAN
BD. DALEM, DS. SINABUN,
KEC. SAWAN Izin Praktik Bidan
40
503-
38.8/216/SIPB/DPMPPTSP/20 19
25-Nov-19 NI LUH AYU SURYA CITRA DEWI
BD. PENATARAN, KEL. KENDRAN,
KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
41
503-
38.8/217/SIPB/DPMPPTSP/20 19
26-Nov-19 NI MADE SUARTINI
BD. KUBUANYAR, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN I Izin Praktik Bidan
42
503-
38.8/218/SIPB/DPMPPTSP/20 19
26-Nov-19 LUH LIA SETIARI
BD. KAJEKANGIN, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN I Izin Praktik Bidan
43
503-
38.8/219/SIPB/DPMPPTSP/20 19
02 Desember 2019
NI PUTU PUTRINI, A. Md.
Keb
JL.GEMPOL NO. 105 A, KEL.
BANYUNING, KEC. BULELENG
JL.GEMPOL NO. 105 A, KEL.
BANYUNING, KEC. BULELENG Izin Praktik Bidan
44
503-
38.8/220/SIPB/DPMPPTSP/20 19
04 Desember
2019 PUTU MIRAHASTUTI BD. BEJI, DS. MUNDUK, KEC. BANJAR RSUD KAB. BULELENG Izin Praktik Bidan
45
503-
38.8/221/SIPB/DPMPPTSP/20 19
04 Desember
2019 WAYAN ATIK SUSILAWATI BD. KANGINAN, DS. KEKERAN, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
46
503-
38.8/222/SIPB/DPMPPTSP/20 19
06 Desember
2019 NI LUH SULIANTARI ASRAMA KIPAN B YONIF 900/RAIDER,
KEL. BANYUNING, KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
47
503-
38.8/223/SIPB/DPMPPTSP/20 19
06 Desember 2019
GUSTI AYU DWI ARYCANTHI
JL. NGURAH RAI NO. 22 SINGARAJ,
KEL. KENDRAN, KEC. BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
48
503-
38.8/224/SIPB/DPMPPTSP/20 19
09 Desember
2019 DESAK PUTU RIMBAWATI BD. JINENGDALEM, DS.
JINENGDALEM, KEC. BULELENG PUSKESMAS SAWAN II Izin Praktik Bidan
49
503-
38.8/225/SIPB/DPMPPTSP/20 19
16 Desember
2019 LUH SRI ARYANI BD. LABUHAN AJI, DS. TEMUKUS,
KEC. BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
50
503-
38.8/225/SIPB/DPMPPTSP/20 19
09 Desember
2019 LUH MILA IRMAYANTI JL. LAKSAMAN BARAT GG CEMPAKA 2, DS. PANJI, KEC. SUKASADA
PUSKESMAS
KUBUTAMBAHAN II Izin Praktik Bidan
51
503-
38.8/226/SIPB/DPMPPTSP/20 19
09 Desember 2019
NI PUTU GRINA YUNITA SARI
BD. BRAHMANA, DS. SAWAN, KEC.
SAWAN PUSKESMAS SAWAN II Izin Praktik Bidan
52
503-
38.8/227/SIPB/DPMPPTSP/20 19
16 Desember
2019 PUTU LAHARIANI BD. LEBAH, DS. DENCARIK, KEC.
BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
53
503-
38.8/228/SIPB/DPMPPTSP/20 19
16 Desember 2019
NI KADEK DEWI HERAWATI
BD. TAMPEKAN, DS. TAMPEKAN, KEC.
BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
54
503-
38.8/229/SIPB/DPMPPTSP/20 19
16 Desember
2019 LUH PARIASTINI JL. JALAK NO. 11, KEL. KALIUNTU, KEC. BULELENG
BD. BAJANGAN, DS.
DENCARIK, KEC. BANJAR Izin Praktik Bidan
55
503-
38.8/230/SIPB/DPMPPTSP/20 19
16 Desember
2019 LUH PARIASTINI JL. JALAK NO. 11, KEL. KALIUNTU,
KEC. BULELENG PUSKESMAS BANJAR I Izin Praktik Bidan
56
503-
38.8/231/SIPB/DPMPPTSP/20 19
16 Desember
2019 PUTU PURIADI BD. KELOD, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BANJAR I Izin Praktik Bidan
57
503-
38.8/232/SIPB/DPMPPTSP/20 19
16 Desember
2019 FLORITA AFEANPAH BD. BAJANGAN, DS. DENCARIK, KEC.
BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
58
503-
38.8/233/SIPB/DPMPPTSP/20 19
16 Desember 2019
NI PUTU AYU PURNAMA SARI
BD. BAJANGAN, DS. DENCARIK, KEC.
BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
59
503-
38.8/234/SIPB/DPMPPTSP/20 19
16 Desember
2019 NI MADE SANTI BUDIANI BD. TAMAN SARI, DS. BANYUSERI,
KEC. BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
60
503-
38.8/236/SIPB/DPMPPTSP/20 19
16 Desember
2019 NI NENGAH YUNARIASIH BD. AMBENGAN, DS. BANJAR, KEC.
BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
61
503-
38.8/237/SIPB/DPMPPTSP/20 19
16 Desember 2019
LUH MADE INA KRISHANTY
BD. LABUHAN AJI, DS. TEMUKUS,
KEC. BANJAR PUSKESMAS BANJAR I Izin Praktik Bidan
62
503-
38.8/238/SIPB/DPMPPTSP/20 19
16 Desember
2019 NI PUTU FITRI PRADNYANI BD. TENGAH, DS. BANYUATIS, KEC.
KEC. BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan
63
503-
38.8/239/SIPB/DPMPPTSP/20 19
16 Desember
2019 NI PUTU FITRI PRADNYANI BD. TENGAH, DS. BANYUATIS, KEC.
KEC. BANJAR
BD. TENGAH, DS. BANYUATIS,
KEC. BANJAR Izin Praktik Bidan
64
503-
38.8/240/SIPB/DPMPPTSP/20 19
16 Desember
2019 NI MADE DARMAYANTI BD. TANGKID, DS. TAMBLANG, KEC.
KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN II Izin Praktik Bidan
65
503-
38.8/241/SIPB/DPMPPTSP/20 19
16 Desember
2019 NI MADE DARMAYANTI BD. TANGKID, DS. TAMBLANG, KEC.
KUBUTAMBAHAN
BD. TANGKID, DS.
TAMBLANG, KEC.
KUBUTAMBAHAN
Izin Praktik Bidan
66
503-
38.8/242/SIPB/DPMPPTSP/20 19
19 Desember
2019 KOMANG TRIKAYANI
JL. KISKINDA GG. MARKISAH I, BD.
KELOD, DS. BUSUNGBIU, KEC.
BUSUNGBIU
PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
67
503-
38.8/243/SIPB/DPMPPTSP/20 19
19 Desember
2019 KADEK SUARMINI BD. ANGSANASARI, DS. TITAB, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
68
503-
38.8/244/SIPB/DPMPPTSP/20 19
26 Desember
2019 GUSTI AYU PUTU ARMINI BD. KAYUPUTIH, DS. SANGGALANGIT,
KEC. GEROKGAK PUSKESMAS GEROKGAK I Izin Praktik Bidan
69
503-
38.8/245/SIPB/DPMPPTSP/20 19
26 Desember
2019 GUSTI AYU PUTU ARMINI BD. KAYUPUTIH, DS. SANGGALANGIT, KEC. GEROKGAK
BD. KAYUPUTIH, DS.
SANGGALANGIT, KEC.
GEROKGAK
Izin Praktik Bidan
70
503-
38.8/246/SIPB/DPMPPTSP/20 19
26 Desember
2019 NI LUH SRI ARTINI BD. PALBESI, DS. GEROKGAK, KEC.
GEROKGAK PUSKESMAS GEROKGAK I Izin Praktik Bidan
71
503-
38.8/247/SIPB/DPMPPTSP/20 19
26 Desember
2019 MADE DARMAWILIANI BD. POH KEMBAR, DS. TUKAD
SUMAGA, KEC. GEROKGAK PUSKESMAS GEROKGAK I Izin Praktik Bidan
72
503-
38.8/248/SIPB/DPMPPTSP/20 19
30 Desember
2019 PUTU FEBI HERNITA BD. PEKEN, DS. PANCASARI, KEC.
SUKASADA RSUD KAB. BULELENG Izin Praktik Bidan
73
503-
38.8/249/SIPB/DPMPPTSP/20 19
30 Desember
2019 NYOMAN MUSIANI BD. DESA, DS. BEBETIN, KEC. SAWAN BD. DESA, DS. BEBETIN, KEC.
SAWAN Izin Praktik Bidan
74
503-
38.8/250/SIPB/DPMPPTSP/20 19
30 Desember
2019 NI LUH SUTRY ASTHINI BD. DESA, DS. GALUNGAN, KEC.
SAWAN
BD. DESA, DS. GALUNGAN,
KEC. SAWAN Izin Praktik Bidan