No No Izin Tercetak Tanggal
Penetapan Nama Pemohon Alamat Pemohon Lokasi Izin Jenis Izin
1 503-38.6/001/SIPP-
II/DPMPPTSP/2020 08-Jan-20 IDA BAGUS PUTU RAI SURYAWAN
BD. LABA AMERTA, DS.
PANGKUNG PARUK, KEC.
SERIRIT
BD. LABA AMERTA, DS.
PANGKUNG PARUK, KEC.
SERIRIT
Izin Praktek Perawat
2 503-38.6/002/SIPP-
I/DPMPPTSP/2020 17-Jan-20 KETUT RANTEN BD. SELAT, DS. SELAT, KEC.
SUKASADA PUSKESMAS SUKASADA I Izin Praktek Perawat 3 503-38.6/003/SIPP-
I/DPMPPTSP/2020 17-Jan-20 KADEK MILA MURNIASIH BD. BUKIT SENI, DS. SEMBIRAN,
KEC. TEJAKULA RSU. KERTHA USADA Izin Praktek Perawat
4 503-38.6/004/SIPP-
I/DPMPPTSP/2020 17-Jan-20 NI KETUT SRI UTAMI BR. YEH MAS, DNS. DASONG, DS.
PANCASARI, KEC. SUKASADA RSU. KERTHA USADA Izin Praktek Perawat
5 503-38.6/005/SIPP-
I/DPMPTSP/2020 21-Jan-20 KETUT PUSTAKAJATI BD. ANCAK, DS. BUNGKULAN, KEC. SAWAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
6 503-38.6/006/SIPP-
I/DPMPTSP/2020 21-Jan-20 NS. KOMANG AYU DINA MARIASI, S.KEP
BD. BOLANGAN, DS.
KAYUPUTIH, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktek Perawat
7 503-38.6/007/SIPP-
I/DPMPTSP/2020 28-Jan-20 PUTU ARYA DARMA WIJAYA
BTN BALE NUANSA INDAH BLOK B.C 120 BABAKAN, DS.
SAMBANGAN, KEC. SUKASADA
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
8 503-38.6/008/SIPP-
I/DPMPTSP/2020 28-Jan-20 RUDY ISHARIYANTO
GG. IX NO. 16 BR. PENATARAN, KEL. KENDARAN, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
9 503-38.6/009/SIPP-
I/DPMPTSP/2020 28-Jan-20 KOMANG GIGIH ARIE SYAHPUTRA, A.Md.Kep
BD. PADMA KENCANA, DS.
TELAGA, KEC. BUSUNGBIU
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
10 503-38.6/010/SIPP-
I/DPMPTSP/2020 28-Jan-20 IDA DAYU PUTU MINGGU ASMINI
BD. TRIWANGSA, DS.
JAGARAGA, KEC. SAWAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
11 503-38.6/011/SIPP-
I/DPMPTSP/2020 28-Jan-20 MADE DWI MAHAYANTY
LINGK. BANYUNING TIMUR, KEL. BANYUNING, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
12 503-38.6/012/SIPP-
I/DPMPTSP/2020 28-Jan-20 MADE OKTA HOSPITA BD. GESING I, DS. GESING, KEC.
BANJAR
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 13 503-38.6/013/SIPP-
I/DPMPTSP/2020 28-Jan-20 I GUSTI NGURAH KADEK ERAWAN
BD. BHUANASARI, DS.
WANAGIRI, KEC. SUKASADA
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
Izin Praktik Perawat yang Terbit Tahun 2020
14 503-38.6/014/SIPP-
I/DPMPTSP/2020 28-Jan-20 DENOK LIA FERAWATI ASRAMA TNI, KEL. BANYUASRI, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
15 503-38.6/015/SIPP-
I/DPMPTSP/2020 28-Jan-20 NI MADE SERIASIH JL. SRI AMERTA GG IV, DS.
BAKTISERAGA, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
16 503-38.6/016/SIPP-
I/DPMPTSP/2020 28-Jan-20 MADE BUDA HARYA
BD. TEGAL, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
17 503-38.6/017/SIPP-
I/DPMPTSP/2020 28-Jan-20 KETUT AGUS WIRA SATRIA DARMA
JL. JALAK BARAT NO. 4, KEL.
KALIUNTU, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
18 503-38.6/018/SIPP-
I/DPMPTSP/2020 28-Jan-20 MARIANA RISNAWATY R.SIALLAGAN
BD. DHARMA YADNYA, DS.
TUKADMUNGGA, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
19 503-38.6/019/SIPP-
I/DPMPTSP/2020 28-Jan-20 I MADE ARTANA
LINGKUNGAN PADANG KELING, KEL. BANYUNING, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
20 503-38.6/020/SIPP-
I/DPMPTSP/2020 28-Jan-20 KETUT SUDHIRI
BTN MULTI BANYUNING LESTARI, KEL. BANYUNING,
KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
21 503-38.6/021/SIPP-
I/DPMPTSP/2020 28-Jan-20 I GST. AGUNG SUARI PRADNYA PARAMITHA
BD. KELODAN, DS. PENGLATAN, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
22 503-38.6/022/SIPP-
I/DPMPTSP/2020 28-Jan-20 PUTU ARI SADHU PERMANA
JL. PARIKESIT GG IV/5, KEL.
BANJAR TEGAL, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
23 503-38.6/023/SIPP-
II/DPMPTSP/2020 29-Jan-20 KETUT RANTEN BD. SELAT, DS. SELAT, KEC.
SUKASADA
BD. SELAT, DS. SELAT, KEC.
SUKASADA Izin Praktek Perawat
24 503-38.6/024/SIPP-
II/DPMPPTSP/2020 03-Feb-20 I KOMANG KARIADA
BD. DHARMA KERTI, DS.
TUKADMUNGGA, KEC.
BULELENG
RSU KERTHA USADA Izin Praktek Perawat
25 503-38.6/025/SIPP-
I/DPMPTSP/2020 05-Feb-20 NI LUH ARISTA DEWI BD. TEGAL WANGI, DS.
BUBUNAN, KEC. SERIRIT
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 26 503-38.6/026/SIPP-
I/DPMPTSP/2020 05-Feb-20 NI MADE AYU WIDA LARASATI NURAGA
BD. ALASHARUM, DS.
BUNGKULAN, KEC. SAWAN
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 27 503-38.6/027/SIPP-
I/DPMPTSP/2020 05-Feb-20 I GEDE PARAMARTHA BD. KAJANAN, DS. TEJAKULA, KEC. TEJAKULA
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 28 503-38.6/028/SIPP-
I/DPMPTSP/2020 05-Feb-20 NI KADEK AYU ANIK VERAWATI
BD. ANYAR, DS. ANTURAN, KEC.
BULELENG
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 29 503-38.6/029/SIPP-
I/DPMPTSP/2020 05-Feb-20 I GUSTI AYU KOMANG TIA WIDI SEPTYANI
BD. MELANTING, DS. BANJAR, KEC. BANJAR
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
30 503-38.6/030/SIPP-
I/DPMPTSP/2020 06-Feb-20 NI MADE ROSSA DARMA PADMI
JL. MAYOR METRA NO. 87, KEL.
BERATAN, KEC. BULELENG RS. BALIMED BULELENG Izin Praktek Perawat
31 503-38.6/031/SIPP-
I/DPMPTSP/2020 06-Feb-20 I KOMANG TRIADI ERAWAN
BD. CELUKAN BAWANG, DS.
CELUKAN BAWANG, KEC.
GEROKGAK
RS. BALIMED BULELENG Izin Praktek Perawat
32 503-38.6/032/SIPP-
I/DPMPTSP/2020 06-Feb-20 GUSTI AYU SRI YUDANI
BTN. BANYUNING BLOK I BANY.
SELATAN, KEL. BANYUNING, KEC. BULELENG
RS. BALIMED BULELENG Izin Praktek Perawat
33 503-38.6/033/SIPP-
I/DPMPTSP/2020 06-Feb-20 KADEK SUKERTI BA. KLODKAUH, DS. PANJI, KEC.
SUKASADA RS. BALIMED BULELENG Izin Praktek Perawat 34 503-38.6/034/SIPP-
I/DPMPTSP/2020 07-Feb-20 NS. MADE AYU BUDIANIS, S,KEP
LINGK. BAKUNG, KEL.
SUKASADA, KEC. SUKASADA RS. BALIMED BULELENG Izin Praktek Perawat
35 503-38.6/035/SIPP-
I/DPMPTSP/2020 06-Feb-20 I MADE ASTITA PARAMARTHA
BD. KAJEKANGIN, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
RS. BALIMED BULELENG Izin Praktek Perawat
36 503-38.6/036/SIPP-
I/DPMPTSP/2020 06-Feb-20 NI PUTU RATIH WINDARI BD. TUNJUNG MEKAR, DS.
BUBUNAN, KEC. SERIRIT RS. BALIMED BULELENG Izin Praktek Perawat 37 503-38.6/037/SIPP-
I/DPMPTSP/2020 06-Feb-20 NS. NI KADEK DWI DESIYANTI, S.KEP
BD. ENJUNG SANGIANG, DS.
KALIASEM, KEC. BANJAR RS. BALIMED BULELENG Izin Praktek Perawat 38 503-38.6/038/SIPP-
I/DPMPTSP/2020 06-Feb-20 NI LUH PUTU ANA SURYANI
BD. ALASSARI, DS. PACUNG,
KEC. TEJAKULA RS. BALIMED BULELENG Izin Praktek Perawat 39 503-38.6/039/SIPP-
I/DPMPTSP/2020 06-Feb-20 ANES YOGI PRASETYO, S.KEP. NS
BD. TAMAN SARI, DS.
SULANYAH, KEC. SERIRIT RSU. SHANTI GRAHA Izin Praktek Perawat 40 503-38.6/040/SIPP-
I/DPMPTSP/2020 06-Feb-20 DEVI DIYA NOVITA SARI BD. LEBAHSIUNG, DS. PANJI
ANOM, KEC. SUKASADA RSU SHANTI GRAHA Izin Praktek Perawat 41 503-38.6/041/SIPP-
I/DPMPTSP/2020 06-Feb-20 KADEK LISNAYANI BD. KELOD, DS. BUSUNGBIU,
KEC. BUSUNGBIU RSU. SHANTI GRAHA Izin Praktek Perawat 42 503-38.6/042/SIPP-
I/DPMPTSP/2020 10-Feb-20 I MADE SUPARDITA MARA PUTRA
BD. TISTA, DS. BAKTISERAGA,
KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat 43 503-38.6/043/SIPP-
I/DPMPTSP/2020 21-Feb-20 KOMANG ARISTA DEWI BD. LEBAH, DS. DENCARIK, KEC.
BANJAR
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 44 503-38.6/044/SIPP-
I/DPMPTSP/2020 21-Feb-20 LUH EKA DAMAYANTI BD. GAMBUH, DS. SELAT, KEC.
SUKASADA
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 45 503-38.6/045/SIPP-
I/DPMPTSP/2020 21-Feb-20 KADEK ASTINI ASRAMA SECATA, KEL.
BANYUNING, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
46 503-38.6/046/SIPP-
I/DPMPTSP/2020 21-Feb-20 NS. I MADE LISIO ANTOBANI, S. KEP
JL. P. SERIBU GG. ARJUNA 2A, PERUM. KRISNA GRAHA BLOK C
12 B PENARUKAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
47 503-38.6/047/SIPP-
1/DPMPTSP/2020 21-Feb-20 LUH NOVI YANTI BD. LEBAH MANTUNG, DS. SARI MEKAR, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
48 503-38.6/048/SIPP-
I/DPMPTSP/2020 21-Feb-20 NI WAYAN ARY IDAYANI
JL. SRIKANDI GG. LECI, LINGK.
TEGAL ASTINA, KEL. BANJAR TEGAL, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
49 503-38.6/049/SIPP-
I/DPMPTSP/2020 21-Feb-20 MADE METTY AGUSTINA BD. KAUH TEBEN, DS.
JAGARAGA, KEC. SAWAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
50 503-38.6/050/SIPP-
I/DPMPTSP/2020 21-Feb-20 IMANIAH, S.KEP
BD. DANGIN MARGI, DS.
TUNJUNG, KEC.
KUBUTAMBAHAN
RSUD KAB. BULELENG Izin Praktek Perawat
51 503-38.6/051/SIPP-
1/DPMPTSP/2020 21-Feb-20 I GEDE ARYA MERTAYASA
BD. DANGIN MARGI, DS.
TUNJUNG, KEC.
KUBUTAMBAHAN
JL. TELENG NO. 3 SINGARAJA Izin Praktek Perawat
52 503-38.6/052/SIPP-
I/DPMPTSP/2020 27-Feb-20 I GUSTI AGUNG HARI ANTARIKSA
BD. TAMAN SARI, DS.
SULANYAH, KEC. SERIRIT RSUD KAB. BULELENG Izin Praktek Perawat 53 503-38.6/053/SIPP-
I/DPMPTSP/2020 04-Mar-20 DEWA AYU PUTU DITA PUSPARANI
JL. PULAU BATAM, DS.
PENARUKAN, KEC. BULELENG
RUMAH SAKIT PRATAMA
GIRI EMAS Izin Praktek Perawat
54 503-38.6/054/SIPP-
I/DPMPTSP/2020 04-Mar-20 NI PUTU RATNA PARIANI BD. KELODAN, DS. BENGKALA, KEC. KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN II Izin Praktek Perawat
55 503-38.6/055/SIPP-
I/DPMPTSP/2020 04-Mar-20 ENDANG KRISTIN WAHYUNINGSIH
BD. TEGAL LANTANG, DS.
PENGULON, KEC. GEROKGAK RSU SHANTI GRAHA Izin Praktek Perawat 56 503-38.6/056/SIPP-
I/DPMPTSP/2020 09-Mar-20 NI KADEK EMI ERLIANI BD. BATU AGUNG PIDADA, DS.
GEROKGAK, KEC. GEROKGAK PUSKESMAS GEROKGAK I Izin Praktek Perawat 57 503-38.6/057/SIPP-
I/DPMPTSP/2020 01-Apr-20 PUTU ADNYAN WACAKA BD. DESA, DS. SUDAJI, KEC.
SAWAN
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
58 503-38.6/058/SIPP-
I/DPMPTSP/2020 01-Apr-20 GUSTI AYU NINDYA MAHA DEWI
BD. BENGKEL, DS.
ALASANGKER, KEC. BULELENG
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
59 503-38.6/059/SIPP-
I/DPMPTSP/2020 01-Apr-20 PUTU PRILLY MILA ULANDARI
BR. DELOD PEKEN, KEL.
KENDRAN, KEC. BULELENG
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 60 503-38.6/060/SIPP-
I/DPMPTSP/2020 01-Apr-20 KADEK AYU MEGA UDAYANI
BD. BEJI, DS. SANGSIT, KEC.
SAWAN
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 61 503-38.6/061/SIPP-
I/DPMPTSP/2020 01-Apr-20 PUTU AYU SERI ERAWATI BD. SEKAR, DS. GUNUNG SARI, SERIRIT
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat 62 503-38.6/062/SIPP-
I/DPMPTSP/2020 01-Apr-20 KOMANG ADUNG SAPTANI
BD. PUNDUH LO, DS.
BUNGKULAN, KEC. SAWAN PUSKESMAS SAWAN II Izin Praktek Perawat
63 503-38.6/063/SIPP-
I/DPMPTSP/2020 09-Apr-20 LUH PUTU LIANA DEWI BD. PASAR, DS. ANTURAN, KEC.
BULELENG
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
64 503-38.6/064/SIPP-
I/DPMPTSP/2020 09-Apr-20 I GEDE WINDU ARIASA BD. PANGUBUGAN, DS. DEPEHA, KEC. KUBUTAMBAHAN
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
65 503-38.6/065/SIPP-
I/DPMPTSP/2020 16-Apr-20 NYOMAN DEWI SUTRISNAWATI
BD. KLONCING, DS.
KEROBOKAN, KEC. SAWAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
66 503-38.6/066/SIPP-
I/DPMPTSP/2020 16-Apr-20 KOMANG SRI WAHYUNI
JL. JENDRAL SUDIRMAN GG. I/11, KEL. BANYUASRI, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
67 503-38.6/067/SIPP-
I/DPMPTSP/2020 16-Apr-20 KOMANG SUDARMI PUTRI BD. KELODAN, DS. JOANYAR, KEC. SERIRIT
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 68 503-38.6/068/SIPP-
I/DPMPTSP/2020 16-Apr-20 NI MADE ENY DWI OKTAVIANI, S.Kep.Ns
BD. DAUH MARGI, DS. PEMARON, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 69 503-38.6/069/SIPP-
I/DPMPTSP/2020 16-Apr-20 ESTER RASWATI BD. BUNUT PANGGANG, DS.
KALIASEM, KEC. BANJAR
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 70 503-38.6/070/SIPP-
I/DPMPTSP/2020 16-Apr-20 KOMANG SARININGSIH BD. KELODKAUH, DS. PANJI, KEC. SUKASADA
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
71 503-38.6/071/SIPP-
I/DPMPTSP/2020 16-Apr-20 PUTU AGUS PARKA MEI YADNYA
JL. LASAMANA GG. DEWI SITA NO. 3, KEL. BANJAR TEGAL, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
72 503-38.6/072/SIPP-
I/DPMPTSP/2020 16-Apr-20 GUSTI AYU PUTU SISTA WIDNYANI
BABAKAN GG. KAMBOJA, DS.
PANJI, KEC. SUKASADA
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 73 503-38.6/073/SIPP-
I/DPMPTSP/2020 28-Apr-20 MADE RASTITIANI BD. KELODAN, DS. BUBUNAN,
KEC. SERIRIT PUSKESMAS BANJAR I Izin Praktek Perawat 74 503-38.6/074/SIPP-
I/DPMPTSP/2020 28-Apr-20 KETUT DEWI SURYANI BD. DAWAN, DS. KALIANGET,
KEC. SERIRIT PUSKESMAS BANJAR I Izin Praktek Perawat 75 503-38.6/075/SIPP-
I/DPMPTSP/2020 28-Apr-20 KETUT WIWIK FITRIYANI BD. GESING I, DS. GESING, KEC.
BANJAR PUSKESMAS BANJAR I Izin Praktek Perawat 76 503-38.6/076/SIPP-
I/DPMPTSP/2020 28-Apr-20 LUH PUTU ARIANI BD. ANYAR, DS. ANTURAN, KEC.
BULELENG PUSKESMAS BANJAR I Izin Praktek Perawat
77 503-38.6/077/SIPP-
I/DPMPTSP/2020 28-Apr-20 KETUT DIANA SUPRANATA
BD. SANGBURNI, DS. PAKISAN, KEC. KUBUTAMBAHAN
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
78 503-38.6/078/SIPP-
I/DPMPTSP/2020 28-Apr-20 LUH PUTU ERNA ROSIANA
DUSUN KAJA KANGIN, DS.
TAMBLANG, KEC.
KUBUTAMBAHAN
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
79 503-38.6/079/SIPP-
I/DPMPTSP/2020 28-Apr-20 NI LUH AYU WIDAYATI BD. BENGKEL, DS. BEBETIN, KEC. SAWAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
80 503-38.6/080/SIPP-
I/DPMPTSP/2020 04-Mei-20 MAIDAH, AMD, KEP
BD. TEGALLINGGAH, DS.
TEGALLINGGAH, KEC.
SUKASADA
PUSKESMAS BANJAR I Izin Praktek Perawat
81 503-38.6/081/SIPP-
I/DPMPTSP/2020 13-Mei-20 PUTU EKA PUSPITA DEVI UTAMI
PERUM BERNASI PERMAI, BR.
BERNASI, DS. BUDUK, KEC.
MEGWI
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
82 503-38.6/082/SIPP-
I/DPMPTSP/2020 19-Mei-20 PUTU PARVATI PRIMAYANTI
JL. SRIKANDI GG. DURIAN BTN SRIKANDI BLOK B NO. 3, DS.
SAMBANGAN, KEC. SUKASADA
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
83 503-38.6/083/SIPP-
I/DPMPTSP/2020 19-Mei-20 NI KADEK NOVI BINTARINI
JL. P. KOMODO GG. MAHONI, KEL. BANYUNING, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
84 503-38.6/085/SIPP-
I/DPMPTSP/2020 28-Mei-20 I KETUT KAYIKA, S. Kep.
Ns
BD. SARI, DS. BUNGKULAN, KEC.
SAWAN RSU SHANTI GRAHA Izin Praktek Perawat 85 503-38.6/086/SIPP-
I/DPMPTSP/2020 28-Mei-20 ANDY AMINUDDIN MAHIRI
BD. TEGAL SARI, DS. SULANYAH,
KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat 86 503-38.6/087/SIPP-
I/DPMPTSP/2020 28-Mei-20 I KOMANG TRIARTHA, S.
Kep. Ns
BD. ANTA SARI, DS. PACUNG,
KEC. TEJAKULA RSU SHANTI GRAHA Izin Praktek Perawat
87 503-38.6/088/SIPP-
I/DPMPTSP/2020 28-Mei-20
NI LUH ENNY PRASETYAWATI, A.Md.
Kep
JL. P. SERIBU BTN GMI A20, RT 006, KEL. PENARUKAN, KEC.
BULELENG
RSU SHANTI GRAHA Izin Praktek Perawat
88 503-38.6/089/SIPP-
I/DPMPTSP/2020 28-Mei-20 TRI HARTADI ARYA RACHMAWAN, S. Kep. Ns
BD. TEGAL SARI, DS. SULANYAH,
KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat
89 503-38.6/090/SIPP-
I/DPMPTSP/2020 28-Mei-20 AFNUR RAFLI BD. TEGAL SARI, DS. SULANYAH,
KEC. BANJAR RSU SHANTI GRAHA Izin Praktek Perawat 90 503-38.6/091/SIPP-
I/DPMPTSP/2020 28-Mei-20 PUTRI AMANDA SURYA, A.Md. Kep
BD. GESING II, DS. GESING, KEC.
BANJAR RSU SHANTI GRAHA Izin Praktek Perawat 91 503-38.6/092/SIPP-
I/DPMPTSP/2020 28-Mei-20 KOMANG WIDIYA, S.Kep.
Ns
BD. TAMAN SARI, DS.
SULANYAH, KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat 92 503-38.6/093/SIPP-
I/DPMPTSP/2020 28-Mei-20 I GEDE DEAN SUTRISNA, S.Kep. Ns
BD. KAJANAN, DS. BUBUNAN,
KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat
93 503-38.6/94/SIPP-
I/DPMPTSP/2020 03-Jun-20 Ns. NI NYMAN RATMADI, S. Kep
LINGK. BANYUNING BARAT, KEL. BANYUNING, KEC.
BULELENG
RSU KERTHA USADA Izin Praktek Perawat
94 503-38.6/95/SIPP-
I/DPMPTSP/2020 03-Jun-20 PUTU MAHENDRA BD. TEGAL SARI, DS. PATAS,
KEC. GEROKGAK RSU KERTHA USADA Izin Praktek Perawat
95 503-38.6/96/SIPP-
I/DPMPTSP/2020 03-Jun-20 MADE BUDI SARI BD. TEGAL, DS. SANGSIT, KEC.
SAWAN RSU KERTHA USADA Izin Praktek Perawat
96 503-38.6/97/SIPP-
II/DPMPTSP/2020 03-Jun-20 NI PUTU DIRGANTARA, S.
KEP. NS
BD. BELIMBING, DS.
PENUKTUKAN, KEC. TEJAKULA RS BALIMED BULELENG Izin Praktek Perawat
97 503-38.6/98/SIPP-
I/DPMPTSP/2020 03-Jun-20 AYU MEILYANI BD. GUNUNG INA, DS.
LOKAPAKSA, KEC. SERIRIT RS BALIMED BULELENG Izin Praktek Perawat
98 503-38.6/99/SIPP-
I/DPMPTSP/2020 03-Jun-20 RETNO DWI ANGGARAINI
JL. YUDISTIRA 16 RT NUS INDAH SINGARAJA, KEL. ASTINA, KEC.
BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
99 503-38.6/100/SIPP-
I/DPMPTSP/2020 03-Jun-20 HERI WIJANARKO PERUM BTN KENCANA GG II/35,
DS. PANJI, KEC. SUKASADA RS BALIMED BULELENG Izin Praktek Perawat
100 503-38.6/101/SIPP-
I/DPMPTSP/2020 03-Jun-20 NI NYOMAN CAHYANI YULIANTARI DEWI
BD. KANGINAN, DS. BONTIHING,
KEC. KUBUTAMBAHAN RS BALIMED BULELENG Izin Praktek Perawat
101 503-38.6/102/SIPP-
I/DPMPTSP/2020 12-Jun-20 KADEK RISKI DESIANI BD. BATUAGUNG, DS.
GEROKGAK, KEC. GEROKGAK RSUD TANGGUWISIA Izin Praktek Perawat
102 503-38.6/103/SIPP-
I/DPMPTSP/2020 15-Jun-20 I MADE SHUARJANA SUSILA
BD. DANGIN PURA, DS. DEPEHA, KEC. KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN II Izin Praktek Perawat
103 503-38.6/104/SIPP-
I/DPMPTSP/2020 18-Jun-20 IRAWATI SAFARI BD. TEGALLENGA, DS.
KALISADA, KEC. SERIRIT RSUD KAB. BULELENG Izin Praktek Perawat
104 503-38.6/105/SIPP-
II/DPMPTSP/2020 18-Jun-20 NS. I PUTU EKO MAHA PUTRA, S.KEP
LINGK. BANYUNING TENGAH, KEL. BANYUNING, KEC.
BULELENG
DS. ALASANGKER, KEC.
BULELENG Izin Praktek Perawat
105 503-38.6/106/SIPP-
II/DPMPTSP/2020 24-Jun-20 LUH PUTU CANDRA DWIPAYANI
BD. SUBUK, DS. SUBUK, KEC.
BUSUNGBIU RSU, KERTHA USADA Izin Praktek Perawat
106 503-38.6/107/SIPP-
I/DPMPTSP/2020 26-Jun-20 NS. I PUTU EKO MAHA PUTRA, S.KEP
LINGK. BANYUNING TENGAH, KEL. BANYUNING, KEC.
BULELENG
PUSKESMAS BULELENG III Izin Praktek Perawat
107 503-38.6/108/SIPP-
I/DPMPTSP/2020 30-Jun-20 I NENGAH AGUS RIMBAWAN PUTRA
BD. ASAH, DS. SEPANG KELOD,
KEC. BUSUGBIU RSUD. TANGGUWISIA Izin Praktek Perawat
108 503-38.6/109/SIPP-
I/DPMPTSP/2020 01-Jul-20 LUH PUTU EKA PRADNYANI
JL. P. BALI GG V I B, KEL.
KAMPUNG BARU, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
109 503-38.6/110/SIPP-
I/DPMPTSP/2020 01-Jul-20 I NENGAH MERTADANA BANJAR PATI, DS. BANTANG, KEC. KINTAMANI
RSUD KABUPATEN
BULELENG Izin Praktek Perawat
110 503-38.6/111/SIPP-
I/DPMPTSP/2020 06-Jul-20 NI MADE SRI LAKSMI BD. DALEM, DS. SINABUN, KEC.
SAWAN PUSKESMAS SUKASADA I Izin Praktek Perawat
111 503-38.6/112/SIPP-
I/DPMPTSP/2020 06-Jul-20 NI WAYAN SUNIASIH LINGK. BANKUNG, KEL.
SUKASADA, KEC. SUKASADA PUSKESMAS SUKASADA I Izin Praktek Perawat 112 503-38.6/113/SIPP-
I/DPMPTSP/2020 17-Jul-20 NI PUTU DEVI
WIRYANDARI, S.KEP.NS
BD. APIT YEH, DS. PATEMON,
KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat 113 503-38.6/114/SIPP-
I/DPMPTSP/2020 17-Jul-20 NI PUTU RISKA DESIANTI, S.KEP.NS
BD. BATUAGUNG, DS.
GEROKGAK, KEC. GEROKGAK RSU. SHANTI GRAHA Izin Praktek Perawat 114 503-38.6/115/SIPP-
I/DPMPTSP/2020 17-Jul-20 KOMANG ADI APRIHANTARA
BD. KANGINAN, DS. SAWAN,
KEC. SAWAN RSUD KAB. BULELENG Izin Praktek Perawat 115 503-38.6/116/SIPP-
I/DPMPTSP/2020 20-Jul-20 MADE HENDRI ADNYANI, S.KEP. N
JL. SUDIRMAN NO. 26, KEL.
BANYUASRI, KEC. BULELENG
PUSKESMAS
KUBUTAMBAHAN II Izin Praktek Perawat 116 503-38.6/117/SIPP-
I/DPMPTSP/2020 20-Jul-20 NI KETUT AGUSTINI, S.
KEP. NS
BD. PABEAN SANGSIT, DS.
SANGSIT, KEC. SAWAN PUSKESMAS SAWAN I Izin Praktek Perawat 117 503-38.6/118/SIPP-
I/DPMPTSP/2020 20-Jul-20 FLORIDA PANJAITAN, S.
KEP, NS
BD. DAUH MUNDUK, DS.
BUNGKULAN, KEC. SAWAN PUSKESMAS SAWAN I Izin Praktek Perawat
118 503-38.6/119/SIPP-
I/DPMPTSP/2020 20-Jul-20 KOMANG TINI DARMIKA, S.KEP. NS
JL. P. SERIBU, GRIYA MANDALA INDAH BLOK B/47, KEL.
PENARUKAN, KEC. BULELENG
PUSKESMAS SAWAN I Izin Praktek Perawat
119 503-38.6/120/SIPP-
I/DPMPTSP/2020 20-Jul-20 KOMANG ARIASTINI
BD. TEGAL, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
PUSKESMAS SAWAN I Izin Praktek Perawat
120 503-38.6/121/SIPP-
I/DPMPTSP/2020 21-Jul-20 NI LUH PUTU WIRATMI BD. DALEM, DS. JINENGDALEM,
KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat
121 503-38.6/122/SIPP-
I/DPMPTSP/2020 21-Jul-20 NS. NI PUTU EMI RELAWATI, S.KEP
BD. DANGIN YEH, DS. GIRI EMAS,
KEC. SAWAN PUSKESMAS SUKASADA I Izin Praktek Perawat 122 503-38.6/123/SIPP-
I/DPMPTSP/2020 23-Jul-20 LUH PUTU ANIK JULIWARSINI
BD. PEKEN, DS. SANGSIT, KEC.
SAWAN
SPN POLDA BALI, JL. LINGGA
- SINGARAJA Izin Praktek Perawat 123 503-38.6/124/SIPP-
I/DPMPTSP/2020 23-Jul-20 NS. KADEK SUMANTRI, S.KEP
BD. TAMAN SARI, DS.
SULANYAH, KEC. SERIRIT RSU SHANTI GRAHA Izin Praktek Perawat
124 503-38.6/125/SIPP-
I/DPMPTSP/2020 24-Jul-20 M. SIDRATUL MUNTAHA BD. BARAT JALAN, DS.
PEGAYAMAN, KEC. SUKASADA RSU. PARAMA SIDHI Izin Praktek Perawat
125 503-38.6/126/SIPP-
I/DPMPTSP/2020 14-Agu-20 GEDE SUARDANIA BD. TEGAL SUMAGA, DS.
TEJAKULA, KEC. TEJAKULA PUSKESMAS TEJAKULA I Izin Praktek Perawat 126 503-38.6/127/SIPP-
1/DPMPTSP/2020 13-Agu-20 I NYOMAN TAWA BD. DALEM, DS. SINABUN, KEC.
SAWAN
KLINIK PRATAMA URKES
POLRES BULELENG Izin Praktek Perawat
127 503-38.6/128/SIPP-
1/DPMPTSP/2020 13-Agu-20 GEDE SENTANA, S.KEP. NS BD. DANGIN YEH, DS. GIRI EMAS, KEC. SAWAN
BD. SEMA, DS. SANGSIT,
KEC. SAWAN Izin Praktek Perawat
128 503-38.6/126/SIPP-
I/DPMPTSP/2020 14-Agu-20 Ns. NI MADE NITA KUMARAYANTI, S. Kep
JL. MEKAR II BLOK A3 NO. 4, KEL. PAMOGAN, KEC.
DENPASAR SELATAN
RSUD KAB. BULELENG Izin Praktek Perawat
129 503-38.6/130/SIPP-
II/DPMPTSP/2020 24-Agu-20 GEDE SUARDANIA BD. TEGAL SUMAGA, DS.
TEJAKULA, KEC. TEJAKULA
BD. TEGAL SUMAGA, DS.
TEJAKULA, KEC. TEJAKULA Izin Praktek Perawat
130 503-38.6/131/SIPP-
I/DPMPTSP/2020 27-Agu-20 I WAYAN YULIANA BD. KAWANAN, DS. JULAH, KEC.
TEJAKULA PUSKESMAS TEJAKULA II Izin Praktek Perawat 131 503-38.6/132/SIPP-
I/DPMPTSP/2020 28-Agu-20 MADE MEI MAHADEWI JL. PULAU NILA, KEL.
PENARUKAN, KEC. BULELENG
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 132 503-38.6/133/SIPP-
I/DPMPTSP/2020 28-Agu-20 KETUT SUDIANI BD. KANGIN TEBEN, DS.
JAGARAGA, KEC. SAWAN
RSUD KABUPATEN
BULELENG Izin Praktek Perawat 133 503-38.6/134/SIPP-
I/DPMPTSP/2020 28-Agu-20 NI LUH KARTIKA WIRA APRILLIA
BD. KANGINAN, DS. TEJAKULA,
KEC. TEJAKULA RSUD KAB. BULELENG Izin Praktek Perawat 134 503-38.6/135/SIPP-
I/DPMPTSP/2020 28-Agu-20 NI KOMANG SUCI ARINI BD. MUNDUK, DS. ANTURAN,
KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat 135 503-38.6/136/SIPP-
I/DPMPTSP/2020 28-Agu-20 KADEK WAHYU KRISNAYANTI
BD. DAJAN RURUNG, DS.
BANJARASEM, KEC. SERIRIT RSUD KAB. BULELENG Izin Praktek Perawat
136 503-38.6/137/SIPP-
I/DPMPTSP/2020 28-Agu-20 I MADE DWI KUKUH
JL. GEMPOL NO. 87 BANY.
TENGAH, KEL. BANYUNING, KEC. BULELENG
RSUD KAB. BULELENG Izin Praktek Perawat
137 503-38.6/138/SIPP-
I/DPMPTSP/2020 28-Agu-20 MADE ARTHA PARIASA BD. TEGAL, DS. PATEMON, KEC.
SERIRIT RSUD KAB. BULELENG Izin Praktek Perawat
138 503-38.6/139/SIPP-
I/DPMPTSP/2020 28-Agu-20 PUTU PURIASIH JL. MERPATI NO. 17, KEL.
KALIUNTU, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
139 503-38.6/140/SIPP-
I/DPMPTSP/2020 28-Agu-20 PUTU SUASTINI
PERUM. PURI KARTIKA KENCANA I NO. 17, KEMBANG SARI, DS. PANJI, KEC. SUKASADA
RSUD KAB. BULELENG Izin Praktek Perawat
140 503-38.6/141/SIPP-
I/DPMPTSP/2020 28-Agu-20 LUH SUARINI
BTN. BALE NUANSA INDAH BLOK B NO. 122, DS.
SAMBANGAN, KEC.SUKASADA
RSUD KAB. BULELENG Izin Praktek Perawat
141 503-38.6/142/SIPP-
I/DPMPTSP/2020 28-Agu-20 IDA AYU ARI WAHYUNI DEWI
BD. PEGAYAMAN, DS. TEMUKUS,
KEC. BANJAR RSUD KAB. BULELENG Izin Praktek Perawat 142 503-38.6/143/SIPP-
I/DPMPTSP/2020 28-Agu-20 KADEK RISMA PUSPARINI BD. BAKUNGAN, DS. TAJUN,
KEC. KUBUTAMBAHAN RSUD KAB. BULELENG Izin Praktek Perawat
143 503-38.6/144/SIPP-
I/DPMPTSP/2020 28-Agu-20 NI MADE SUWARNINGSIH BTN. BALE DANA BABAKAN, DS.
SAMBANGAN, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat
144 503-38.6/145/SIPP-
I/DPMPTSP/2020 28-Agu-20 LUH ENDRI CAHYANI BD. YEH KETIPAT, DS.
WANAGIRI, KEC. SUKASADA RSUD KAB. BULELENG Izin Praktek Perawat
145 503-38.6/146/SIPP-
I/DPMPTSP/2020 28-Agu-20 NI PUTU ELLY KUSUMAWATI
JL. GUNUNG RINJANI, KEL.
BANJAR TEGAL, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
146 503-38.6/147/SIPP-
I/DPMPTSP/2020 28-Agu-20 NI NYOMAN RINI HANDAYANI
JL. P. KOMODO GG. MAHONI NO.
1, KEL. BANYUNING, KEC.
BULELENG
RSUD KAB. BULELENG Izin Praktek Perawat
147 503-38.6/148/SIPP-
II/DPMPTSP/2020 21-Sep-20 MADE ARTHA PARIASA BD. TEGAL, DS. PATEMON, KEC.
SERIRIT RSU KERTHA USADA Izin Praktek Perawat
148 503-38.6/149/SIPP-
I/DPMPTSP/2020 06-Okt-20 GUSTI NYOMAN WEDA PUTRA
BD. SERAYA, DS. BAKTISERAGA,
KEC. BULELENG RS BALIMED BULELENG Izin Praktek Perawat
149 503-38.6/150/SIPP-
I/DPMPTSP/2020 06-Okt-20 PUTU AYU FEBRIANI JL. R. SUPRAPTO GG. LELY NO.
12, KEL. SERIRIT, KEC. SERIRIT RS BALIMED BULELENG Izin Praktek Perawat
150 503-38.6/151/SIPP-
I/DPMPTSP/2020 06-Okt-20 MD. RIZKY DWIYANI JL. GAJAH MADA 96, KEL.
BANJAR JAWA, KEC. BULELENG RS BALIMED BULELENG Izin Praktek Perawat
151 503-38.6/152/SIPP-
I/DPMPTSP/2020 14-Okt-20 NS. KETUT YASTRINI, S.KEP
BD. KAWANAN, DS. BILA, KEC.
KUBUTAMBAHAN PUSKESMAS SAWAN II Izin Praktek Perawat 152 503-38.6/153/SIPP-
I/DPMPTSP/2020 15-Okt-20 ANA SAGITA FONI JL. P. OBI, KEL. PENARUKAN, KEC. BULELENG
RSU KARYA DHARMA
USADA Izin Praktek Perawat
153 503-38.6/154/SIPP-
I/DPMPTSP/2020 15-Okt-20 WIRAHADI FAUZI
JL. BISMA NO. 14 SINGARAJA, KEL. BANJAR TEGAL, KEC.
BULELENG
RSU KARYA DHARMA
HUSADA Izin Praktek Perawat
154 503-38.6/155/SIPP-
I/DPMPTSP/2020 20-Okt-20 KOMANG ARYA WIRA SATRIA
BR. BAYUSUTA II NO. 16, KEL.
ASTINA, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat
155 503-38.6/156/SIPP-
I/DPMPTSP/2020 20-Okt-20 PUTU NOVI WIDIANI
JL. GEMPOL 150 BANYUNING TENGAH, KEL. BANYUNING, KEC
BULELENG
RSU KERTHA USADA Izin Praktek Perawat
156 503-38.6/157/SIPP-
I/DPMPTSP/2020 21-Okt-20 NI KETUT ROSALINA DEWI
BD. BULAKAN, DS. MUNDUK,
KEC. BANJAR RSU KERTHA USADA Izin Praktek Perawat
157 503-38.6/158/SIPP-
I/DPMPTSP/2020 21-Okt-20 FELISIA NADHINE CHANIA
JL. P. KOMODO GG. UGRASENA BLOK B NO. 5, KEL. BANYUNING,
KEC. BULELENG
RSU KERTHA USADA Izin Praktek Perawat
158 503-38.6/159/SIPP-
I/DPMPTSP/2020 23-Okt-20 NS. MADE MITARINI, S.KEP
BD. SEKAR, DS. BANJAR, KEC.
BANJAR RSU KERTHA USADA Izin Praktek Perawat 159 503-38.6/160/SIPP-
I/DPMPTSP/2020 05-Nov-20 KADEK YOGI ASTAWAN BD. PUSPAJATI, DS. GUNUNG
SARI, KEC. SERIRIT RSU KERTHA USADA Izin Praktek Perawat 160 503-38.6/161/SIPP-
I/DPMPTSP/2020 05-Nov-20 PUTU RHISA MAHASARI JL. P. OBI GG. APEL NO. 4, KEL.
BANYUNING, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat 161 503-38.6/162/SIPP-
I/DPMPTSP/2020 09-Nov-20 NI KADEK SABARINI BD. SILA DARMA, DS. TEJAKULA,
KEC. TEJAKULA PUSKESMAS TEJAKULA I Izin Praktek Perawat 162 503-38.6/163/SIPP-
I/DPMPTSP/2020 12-Nov-20 I GUSTI NGURAH MADE YASA
BD. JEMBONG, DS. AMBENGAN,
KEC. SUKASADA RS BALIMED BULELENG Izin Praktek Perawat 163 503-38.6/164/SIPP-
I/DPMPTSP/2020 12-Nov-20 I GEDE WAHYU ARYA PARAMARTHA
BD. LEBAH SARI, DS.
UNGGAHAN, KEC. SERIRIT RS BALIMED BULELENG Izin Praktek Perawat
164 503-38.6/165/SIPP-
I/DPMPTSP/2020 12-Nov-20 NIKKY AUGUSTINA
JL. A. YANI KAV. JALAK PUTIH I, KEL. BANYUASRI, KEC.
BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
165 503-38.6/166/SIPP-
I/DPMPTSP/2020 12-Nov-20 KETUT WULANDARI BD. KANGINAN, DS. BONTIHING,
KEC. KUBUTAMBAHAN RS BALIMED BULELENG Izin Praktek Perawat
166 503-38.6/167/SIPP-
I/DPMPTSP/2020 12-Nov-20 COK AGUNG INDRA PUTRA MAHARDIKA
BD. BUNUT PANGGANG, DS.
KALIASEM, KEC. BANJAR RS BALIMED BULELENG Izin Praktek Perawat 167 503-38.6/168/SIPP-
I/DPMPTSP/2020 12-Nov-20 ANISA RAHMATIKA BD. TEGALLANTANG, DS.
PENGULON, KEC. GEROKGAK RS BALIMED BULELENG Izin Praktek Perawat
168 503-38.6/169/SIPP-
I/DPMPTSP/2020 12-Nov-20 KETUT IGA DIAH PRAHARTINI
JL. JEND. SUDIRMAN GG. 6, KEL.
BANYUASRI, KEC. BULELENG RS BALIMED BULELENG Izin Praktek Perawat
169 503-38.6/170/SIPP-
I/DPMPTSP/2020 12-Nov-20 DESAK NYOMAN GHINA RINDIANI
JL. P. MENJANGAN GG.
DIPONOGORO I NO. 3, KEL.
BANYUNING, KEC. BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
170 503-38.6/171/SIPP-
I/DPMPTSP/2020 23-Nov-20 GEDE AGUS BUDIARTA BD. CELUKBULUH, DS.
KALIBUKBUK, KEC. BULELENG RS BALIMED BULELENG Izin Praktek Perawat
171 503-38.6/172/SIPP-
I/DPMPTSP/2020 23-Nov-20 NS. AYU CLARA KRISTANTO, S.KEP
BD. TENGAH, DS. BANJAR
TEGEHA, KEC. BANJAR RS BALIMED BULELENG Izin Praktek Perawat
172 503-38.6/173/SIPP-
I/DPMPTSP/2020 23-Nov-20 NS. NI KETUT SUSYANI, S.KEP
BD. DHARMA KERTI, DS.
TUKADMUNGGA, KEC.
BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
173 503-38.6/174/SIPP-
I/DPMPTSP/2020 23-Nov-20 NS. LUH WIDYA SINTA DEWI, S.KEP
BD. TABANG, DS. BEBETIN, KEC.
SAWAN RS BALIMED BULELENG Izin Praktek Perawat
174 503-38.6/175/SIPP-
I/DPMPTSP/2020 23-Nov-20 IDA BAGUS JENANA YOGA
BD. TEGAL SARI, DS.
TANGGUWISIA, KEC. SERIRIT RS BALIMED BULELENG Izin Praktek Perawat
175 503-38.6/176/SIPP-
I/DPMPTSP/2020 23-Nov-20 NS. MADE INDRA SUMERTA, S.KEP
JL. P. OBI GG. WANI, LINGK.
BANYUNING TIMUR, KEL.
BANYUNING, KEC. BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
176 503-38.6/177/SIPP-
I/DPMPTSP/2020 23-Nov-20 NS. KADEK YUDI ADNYANI, S.KEP
JL. P. KOMODO GG. TIMBUL NO.
28, KEL. BANYUNING, KEC.
BULELENG
RS. BALIMED BULELENG Izin Praktek Perawat
177 503-38.6/178/SIPP-
I/DPMPTSP/2020 23-Nov-20 KADEK ARYANDARI
JL. G. AGUNG GG. III/2 A NO. 8, KEL. PAKET AGUNG, KEC.
BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
178 503-38.6/179/SIPP-
I/DPMPTSP/2020 23-Nov-20 DEWI SRI WAHYUNI
JL. MERAK GG. REMAJA, KEL.
KAMPUNG ANYAR, KEC.
BULELENG
RS BALIMED BULELENG Izin Praktek Perawat
179 503-38.6/180/SIPP-
I/DPMPTSP/2020 26-Nov-20 MADE AGUS ARTANA BD. BUBUNAN, DS. TINGA-
TINGA, KEC. GEROKGAK RSUD TANGGUWISIA Izin Praktek Perawat
180 503-38.6/181/SIPP-
I/DPMPTSP/2020 26-Nov-20
Ns. PUTU GUSANDRA YUDHA WIRATAMA, S.
Kep
BD. BABAKAN GG. MARKISA NO.
2, DS. SAMBANGAN, KEC.
SUKASADA
RSUD KAB. BULELENG Izin Praktek Perawat
181 503-38.6/182/SIPP-
I/DPMPTSP/2020 01-Des-20 KADEK REGA DWI
SANTINI BD. KANGINAN, DS. KEKERAN RSU SHANTI GRAHA Izin Praktek Perawat 182 503-38.6/183/SIPP-
I/DPMPTSP/2020 01-Des-20 PUTU ERIYANI S. Kep.,Ns BD. YEH ANAKAN, DS.
BANJARASEM RSU SHANTI GRAHA Izin Praktek Perawat
183 503-38.6/184/SIPP-
I/DPMPTSP/2021 01-Des-20
Ns. I MADE DWI BUDHIASA ARI
SERANGGA
BD. DHARMA YADNYA, DS.
TUKADMUNGGA, KEC.
BULELENG
RSUD KAB. BULELENG Izin Praktek Perawat
184 503-38.6/185/SIPP-
I/DPMPTSP/2021 02-Des-20
Ns. I MADE ARI PRADNYANA ASTIKA
PUTRA., S. Kep
JL. SRI AMERTA GG III/5, DS.
BAKTISERAGA, KEC. BULELENG RSUD KAB. BULELENG Izin Praktek Perawat
185 503-38.6/186/SIPP-
I/DPMPTSP/2022 02-Des-20 KETUT MAYUN SINTA SEPTIARI
LINGK. SANGKET, KEL.
SUKASADA, KEC. SUKASADA RS BALIMED BULELENG Izin Praktek Perawat 186 503-38.6/187/SIPP-
I/DPMPTSP/2020 08-Des-20 DEVI SEPTIANA PRATIWI BD. TEGALLENGA, DS.
KALISADA, KEC. SERIRIT RSUD TANGGUWISIA Izin Praktek Perawat 187 503-38.6/188/SIPP-
I/DPMPTSP/2020 08-Des-20 PUTU SUARNILA BD. TEGALSARI, DS. PATAS, KEC.
GEROKGAK
BD. TEGALSARI, DS. PATAS,
KEC. GEROKGAK Izin Praktek Perawat 188 503-38.6/189/SIPP-
II/DPMPTSP/2020 10-Des-20 PUTU SUARNILA BD. TEGALSARI, DS. PATAS, KEC.
GEROKGAK PUSKESMAS GEROKGAK I Izin Praktek Perawat 189 503-38.6/190/SIPP-
I/DPMPTSP/2020 16-Des-20 LUH ENDRI LISTIANI, S.KEP. NS
JL. GAJAH MADA NO. 38, KEL.
ASTINA, KEC. BULELENG RSU KERTHA USADA Izin Praktek Perawat
190 503-38.6/191/SIPP-
I/DPMPTSP/2020 16-Des-20 DANAR BRATA NOVIA KRISTYANTI
JL. SRIMADYA GG. RATIH, LINGK. BANYUNING BARAT,
KEL. BANYUNING, KEC.
BULELENG
RSU KERTHA USADA Izin Praktek Perawat
191 503-38.6/192/SIPP-
I/DPMPTSP/2020 16-Des-20 NYOMAN HADI HARIANTHA
BD. KELOD KAUH, DS.
BONDALEM, KEC. TEJAKULA RSU KERTHA USADA Izin Praktek Perawat
192 503-38.6/193/SIPP-
I/DPMPTSP/2020 16-Des-20 MUHAMMAD HABIBULLAH
JL. MERAK GG. MUDA NO. 25 B, LINGK. KAYUBUNTUL TIMUR, KEL. KAMPUNG ANYAR, KEC.
BULELENG
RSU KERTHA USADA Izin Praktek Perawat
193 503-38.6/194/SIPP-
I/DPMPTSP/2020 17-Des-20 NS. NI NYOMAN SUARMINI, S. KEP
BD. KAJANAN, DS. TEJAKULA,
KEC. TEJAKULA PUSKESMAS TEJAKULA I Izin Praktek Perawat 194 503-38.6/195/SIPP-
I/DPMPTSP/2020 21-Des-20 I WAYAN SUWIDANA BD. CELAGI, DS. UNGGAHAN,
KEC. SERIRIT PUSKESMAS SERIRIT III Izin Praktek Perawat 195 503-38.6/196/SIPP-
I/DPMPTSP/2020 21-Des-20 NS. INDAH SASTRAWATI, S.KEP
JL. SUDIRMAN NO. 41, KEL.
SERIRIT, KEC. SERIRIT PUSKESMAS SERIRIT III Izin Praktek Perawat
196 503-38.6/197/SIPP-
I/DPMPTSP/2020 23-Des-20 I GEDE ADI PERTAMA BD. KANGINAN, DS. BONTIHING, KEC. KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN II Izin Praktek Perawat
197 503-38.6/198/SIPP-
I/DPMPTSP/2020 23-Des-20 I GEDE ANGKASA BD. KANGINAN, DS. BONTIHING, KEC. KUBUTAMBAHAN
PUSKESMAS
KUBUTAMBAHAN II Izin Praktek Perawat