Nama Alamat Pemohon Lokasi Praktik Jenis Izin Penetapan

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SIP Perawat yang Terbit di Bulan Januari s.d Maret 2019 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

8 503-38.6/008/SIPP-

1/DPMPPTSP/2019 17-Jan-19 PUTU EKA ROSIANI BD. BANYUALIT, DS. KALIBUKBUK, KEC.

BULELENG

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

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10 503-38.6/010/SIPP-

1/DPMPPTSP/2019 17-Jan-19 NOVITA ANGGRAINI JL. SRIKANDI GG. DURIAN SINGARAJA

CENDRAWASIH NO. 5-7 SINGARAJA

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

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

CENDRAWASIH NO.5-7 SINGARAJA

14 503-38.6/014/SIPP-

1/DPMPPTSP/2019 21-Jan-19 MUHAMMAD HABIBULLAH

JL. CENDRAASI NO. 3 SINGARAJA, KEL.

KALIUNTU, KEC. BULELENG

15 503-38.6/015/SIPP-

1/DPMPPTSP/2019 21-Jan-19 DELVIA RESTIATRI, A.md Kep

BD. TEGALLINGGAH, DS. TEGALLINGGAH, KEC. SUKASADA

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

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

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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

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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

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

41 503-38.6/041/SIPP-

I/DPMPPTSP/2019 30-Jan-19 I GD ANDRE ANGGARA PUTRA

BD. DAJAN MARGI, DS. SILANGJANA, KEC.

SUKASADA

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

43 503-38.6/043/SIPP-

I/DPMPPTSP/2018 30-Jan-19 KADEK DESY SUWANTARI

BD. ANTAPURA, DS. TEJAKULA, KEC.

TEJAKULA

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

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

48 503-38.6/048/SIPP-

I/DPMPPTSP/2019 21-Feb-19 NI PUTU ERNAYANI JL. DEWI UMA IA/2, DS. BAKTISERAGA, KEC.

BULELENG

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

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

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

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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

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

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

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

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

65 503-38.6/064/SIPP-

I/DPMPPTSP/2019 25-Mar-19 GEDE NOVA WISNU DHARMAWAN

BD. CELUKBULUH, DS. KALIBUKBUK, KEC.

BULELENG

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

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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

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

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

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

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