SIP Bidan yang Terbit di Bulan April s.d Juni 2019 No No Izin Tercetak Tanggal
Penetapan Nama Alamat Pemohon Lokasi Praktik Jenis Izin
1
503-
38.8/026/SIPB/DPMPPTSP/20 19
04-Apr-19 NI KADEK RIKA ERMERE YANTHI
BD. DAUH MUNDUK, DS.
BUNGKULAN, KEC. SAWAN
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 2
503-
38.8/027/SIPB/DPMPPTSP/20 19
04-Apr-19 KADEK YUSTIKA LESTARI BD. KELAMPUAK, DS. TAMBLANG, KEC. KUBUTAMBAHAN
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 3
503-
38.8/028/SIPB/DPMPPTSP/20 19
04-Apr-19 KADEK DWI INDAH PURWATI
BD. KANGINAN, DS. MENYALI, KEC.
SAWAN
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 4
503-
38.8/029/SIPB/DPMPPTSP/20 19
04-Apr-19 NI LUH RIRIN ASRI PADMI JL. P. SAMOSIR III/ 11 A, KEL.
PENARUKAN, KEC. BULELENG
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 5
503-
38.8/030/SIPB/DPMPPTSP/20 19
04-Apr-19 KADEK PUSPITA DEWI BD. TAMPEKAN, DS. TAMPEKAN, KEC. BANJAR
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 6
503-
38.8/031/SIPB/DPMPPTSP/20 19
04-Apr-19 NI PUTU HEPY KARISMA DEWI
BD. BANYUALIT, DS. KALIBUKBUK, KEC. BULELENG
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 7
503-
38.8/032/SIPB/DPMPPTSP/20 19
04-Apr-19 NI PUTU VENTIASIH
OKTAPIANI A.Md. Keb BD. MUSI, DS. MUSI, KEC. GEROKGAK RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 8
503-
38.8/033/SIPB/DPMPPTSP/20 19
04-Apr-19 PUTU DIAN SUMA LESTARI
LINK. KEBON SARI GG. 1 NO. 45, KEL.
KAMPUNG BARU, KEC. BULELENG
RUMAH SAKIT BALIMED
BULELENG Surat Izin Praktik Bidan 9
503-
38.8/034/SIPB/DPMPPTSP/20 19
10-Apr-19 FLORITA AFEANPAH BD. BAJANGAN, DS. DENCARIK, KEC.
BANJAR
BD. BAJANGAN, DS.
DENCARIK, KEC. BANJAR Surat Izin Praktik Bidan 10
503-
38.8/035/SIPB/DPMPPTSP/20 19
11-Apr-19 NI NYOMAN SEKAR JL. GAJAH MADA GG. IX/8, KEL.
BANJAR JAWA, KEC. BULELENG
DS. KEROBOKAN, KEC.
SAWAN Surat Izin Praktik Bidan
11
503-
38.8/036/SIPB/DPMPPTSP/20 19
11-Apr-19 NI NYOMAN SEKAR JL. GAJAH MADA GG. IX/8, KEL.
BANJAR JAWA, KEC. BULELENG PUSKESMAS SAWAN I Surat Izin Praktik Bidan 12
503-
38.8/037/SIPB/DPMPPTSP/20 19
11-Apr-19 LUH PUTU SRI ARTADI BD. KAWANAN, DS. BILA, KEC.
KUBUTAMBAHAN PUSKESMAS SAWAN I Surat Izin Praktik Bidan 13
503-
38.8/038/SIPB/DPMPPTSP/20 19
11-Apr-19 MADE INDRA PARWATI BD. KLONCING, DS. KEROBOKAN,
KEC. SAWAN PUSKESMAS SAWAN I Surat Izin Praktik Bidan 14
503-
38.8/039/SIPB/DPMPPTSP/20 19
11-Apr-19 MADE INDRA PARWATI BD. KLONCING, DS. KEROBOKAN, KEC. SAWAN
DUSUN KLONCING, DS.
KEROBOKAN Surat Izin Praktik Bidan 15
503-
38.8/040/SIPB/DPMPPTSP/20 19
11-Apr-19 PUTU NEVI ERLIAWATI BD. BUKITTELU, DS. BENGKEL, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 16
503-
38.8/041/SIPB/DPMPPTSP/20 19
11-Apr-19 NI KETUT SERIASTUTI BD. TENGAH, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 17
503-
38.8/042/SIPB/DPMPPTSP/20 19
11-Apr-19 PUTU PURNAMIASIH BD. KARYANADI, DS. RANGDU, KEC.
SERIRIT PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 18
503-
38.8/043/SIPB/DPMPPTSP/20 19
11-Apr-19 NI WAYAN SARWI BD. KAJA, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 19
503-
38.8/044/SIPB/DPMPPTSP/20 19
11-Apr-19 SAYU PUTU SUASTINI BR. KUKUH KELOD, DS. KUKUH, KEC.
KERAMBITAN PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 20
503-
38.8/045/SIPB/DPMPPTSP/20 19
11-Apr-19 KADEK RIKA SAWITRI BD. TENGAH, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 21
503-
38.8/046/SIPB/DPMPPTSP/20 19
11-Apr-19 LUH PUTU WAHYU JUNIANTARI
BD. KAJANAN, DS. TEJAKULA, KEC.
TEJAKULA PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan
22
503-
38.8/047/SIPB/DPMPPTSP/20 19
11-Apr-19 NI WAYAN ARTINI DUSUN SUBUK, DS. SUBUK, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 23
503-
38.8/048/SIPB/DPMPPTSP/20 19
11-Apr-19 NI KADEK SRI PUSPHA RUHNI
BD. PELAPUAN, DS. PELAPUAN, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 24
503-
38.8/049/SIPB/DPMPPTSP/20 19
11-Apr-19 NI KETUT RINGIN BD. BENGKEL, DS. BENGKEL. KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Surat Izin Praktik Bidan 25
503-
38.8/050/SIPB/DPMPPTSP/20 19
11-Apr-19 SELFIANA ENGGELINA NDUN
JL. TRI BRATA BLOK C 22, KEL. PAKET
AGUNG, KEC. BULELENG PUSKESMAS BULELENG I Surat Izin Praktik Bidan 26
503-
38.8/051/SIPB/DPMPPTSP/20 19
18-Apr-19 KM DEVIANA SUSILA DEWI
BD. KELOD, DS. BUSUNGBIU, KEC.
BUSUNGBIU
RUMAH SAKIT
TANGGUWISIA Surat Izin Praktik Bidan 27
503-
38.8/052/SIPB/DPMPPTSP/20 19
18-Apr-19 AGUNG FITRI KURNIASIH BD. JEGU TEGAL, DS. JEGU, KEC.
PENEBEL
RUMAH SAKIT PRATAMA
TANGGUWISIA Surat Izin Praktik Bidan 28
503-
38.8/053/SIPB/DPMPPTSP/20 19
18-Apr-19 KADEK SHERLY KARISNA UTAMI
BD. DELOD MARGI, DS. SARIMEKAR,
KEC. BULELENG RSU KERTHA USADA Surat Izin Praktik Bidan 29
503-
38.8/054/SIPB/DPMPPTSP/20 19
18-Apr-19 AYU EKA DEWANTARI BD. SEKAR, DS. BANJAR, KEC. BANJAR RSU KERTHA USADA Surat Izin Praktik Bidan
30
503-
38.8/055/SIPB/DPMPPTSP/20 19
22-Apr-19 IDA AYU NGURAH SRI LAKSMINI
JL. P. MENJANGAN LINGK.
BANYUNING SELATAN, KEL.
BANYUNING, KEC. BULELENG
RSUD KABUPATEN
BULELENG Surat Izin Praktik Bidan 31
503-
38.8/056/SIPB/DPMPPTSP/20 19
22-Apr-19 NI LUH SWANTARI BR. PETAK, KEL. ASTINA, KEC.
BULELENG
RSUD KABUPATEN
BULELENG Surat Izin Praktik Bidan 32
503-
38.8/057/SIPB/DPMPPTSP/20 19
30-Apr-19 KADEK DIAN PARIANTINI BR. PETAK SINGARAJA, KEL. ASTINA,
KEC. BULELENG DESA SARI MEKAR Surat Izin Praktik Bidan
33
503-
38.8/058/SIPB/DPMPPTSP/20 19
30-Apr-19 NI LUH RIRIN WIDYANTARI
JL. GEMPOL NO. 37, KEL.
BANYUNING, KEC. BULELENG DESA SARI MEKAR Surat Izin Praktik Bidan 34
503-
38.8/059/SIPB/DPMPPTSP/20 19
30-Apr-19 DIAN INDRIYANI BD. PASEK, DS. KUBUTAMBAHAN, KEC. KUBUTAMBAHAN
BD. KAJEKANGIN, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
Surat Izin Praktik Bidan
35
503-
38.8/060/SIPB/DPMPPTSP/20 19
30-Apr-19 KADEK ARI PURYANTINI BD. PASEK, DS. KUBUTAMBAHAN, KEC. KUBUTAMBAHAN
BD. KAJEKANGIN, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
Surat Izin Praktik Bidan
36
503-
38.8/061/SIPB/DPMPPTSP/20 19
30-Apr-19 KOMANG AYU SRIASTINI BD. PENDEM, DS. ALASANGKER, KEC.
BULELENG
BD. PENDEM, DS.
ALASANGKER, KEC.
BULELENG
Surat Izin Praktik Bidan
37
503-
38.8/062/SIPB/DPMPPTSP/20 19
09-Mei-19 DESAK KETUT WIPRASINI JL. RATULANGI GG. CENDRAWASIH,
KEL. PENARUKAN, KEC. BULELENG RS. BALI MED BULELENG Izin Praktik Bidan 38
503-
38.8/063/SIPB/DPMPPTSP/20 19
09-Mei-19 MADE AWYK KRISNAYANI JL. PAHLAWAN NO. 34, KEL. BANJAR
TEGAL, KEC. BULELENG RS. BALI MED BULELENG Izin Praktik Bidan 39
503-
38.8/064/SIPB/DPMPPTSP/20 19
09-Mei-19 PUTU TITA AGUSTINA BD. DANGIN YEH, DS. GIRI EMAS,
KEC. SAWAN RS. BALI MED BULELENG Izin Praktik Bidan 40
503-
38.8/065/SIPB/DPMPPTSP/20 19
09-Mei-19 LUH DEWI WAHYUNI
BTN. GRIYA KEROBOKAN PERMAI BLOK G NO. 7, DS. KEROBOKAN, KEC.
SAWAN
RS. BALI MED BULELENG Izin Praktik Bidan
41
503-
38.8/066/SIPB/DPMPPTSP/20 19
09-Mei-19 NI LUH PUTU KRISNA WULANDARI
BD. KELOD, DS. KEDIS, KEC.
BUSUNGBIU RS. BALI MED BULELENG Izin Praktik Bidan 42
503-
38.8/067/SIPB/DPMPPTSP/20 19
09-Mei-19 APRIN TRI LESTARI JL. SRIKANDI GG. DURIAN, DS.
BAKTISERAGA, KEC. BULELENG RSU KERTHA USADA Izin Praktik Bidan 43
503-
38.8/068/SIPB/DPMPPTSP/20 19
09-Mei-19 LUH PERI WINDAYANI BD. KARANGSARI, DS. BANYUPOH,
KEC. GEROKGAK PUSKESMAS GEROKGAK II Izin Praktik Bidan
44
503-
38.8/069/SIPB/DPMPPTSP/20 19
09-Mei-19 LUH PERI WINDAYANI BD. KARANGSARI, DS. BANYUPOH, KEC. GEROKGAK
BD. KARANGSARI, DS.
BANYUPOH, KEC.
GEROKGAK
Izin Praktik Bidan
45
503-
38.8/070/SIPB/DPMPPTSP/20 19
09-Mei-19 KETUT INDRAWATI, S.ST BD. GORIS ASRI, DS. PEJARAKAN, KEC. GEROKGAK
BD. GORIS ASRI, DS.
PEJARAKAN, KEC.
GEROKGAK
Izin Praktik Bidan
46
503-
38.8/071/SIPB/DPMPPTSP/20 19
09-Mei-19 KETUT INDRAWATI, S.ST BD. GORIS ASRI, DS. PEJARAKAN,
KEC. GEROKGAK PUSKESMAS GEROKGAK II Izin Praktik Bidan 47
503-
38.8/072/SIPB/DPMPPTSP/20 19
13-Mei-19 LUH PUTU MERTA ASIH BD. BAKUNGAN, DS. TAJUN, KEC.
KUBUTAMBAHAN RS PRATAMA GIRI EMAS Izin Praktik Bidan 48
503-
38.8/073/SIPB/DPMPPTSP/20 19
13-Mei-19 NI KOMANG RIKA ANJANI BD. KUWUN, DS. RINGDIKIT, KEC.
SERIRIT RS PRATAMA GIRI EMAS Izin Praktik Bidan 49
503-
38.8/074/SIPB/DPMPPTSP/20 19
13-Mei-19 NI LUH PUTU PRIDA SUWARDIANI
BD. KELOD KAUH, DS. PANJI, KEC.
SUKASADA RS PRATAMA GIRI EMAS Izin Praktik Bidan 50
503-
38.8/075/SIPB/DPMPPTSP/20 19
20-Mei-19 KOMANG DHENA TRIASTAMI
BD. KAJANAN, DS. PENGLATAN, KEC.
BULELENG PUSKESMAS BULELENG III Izin Praktik Bidan 51
503-
38.8/076/SIPB/DPMPPTSP/20 19
22-Mei-19 KOMANG RATNA DEWI BD. KAWANAN, DS. PENUKTUKAN,
KEC. TEJAKULA PUSKESMAS TEJAKULA I Izin Praktik Bidan 52
503-
38.8/077/SIPB/DPMPPTSP/20 19
22-Mei-19 KOMANG RATNA DEWI BD. KAWANAN, DS. PENUKTUKAN, KEC. TEJAKULA
BD. KAWANAN, DS.
PENUKTUKAN, KEC.
TEJAKULA
Izin Praktik Bidan
53
503-
38.8/078/SIPB/DPMPPTSP/20 19
22-Mei-19 MADE RIANG WULANDARI
JL. S.PARMAN NO. 47 KARANG SARI, DS. SERIRIT, KEC. SERIRIT
JL. S.PARMAN NO. 47 KARANG SARI, DS.
SERIRIT, KEC. SERIRIT
Izin Praktik Bidan
54
503-
38.8/079/SIPB/DPMPPTSP/20 19
24-Mei-19 NI LUH RATNA DEWI, A.Md. Keb
BD. NGIS, DS. TEMBOK, KEC.
TEJAKULA PUSKESMAS TEJAKULA I Izin Praktik Bidan
55
503-
38.8/080/SIPB/DPMPPTSP/20 19
11-Jun-19 LUH YANI WIDA ANTARI BD. PASEK, DS. KUBUTAMBAHAN, KEC. KUBUTAMBAHAN
RSUD KABUPATEN
BULELENG Izin Praktik Bidan 56
503-
38.8/081/SIPB/DPMPPTSP/20 19
11-Jun-19 KOMANG EMY TRISTIYANI BD. BATUPULU, DS. PANJI ANOM,
KEC. SUKASADA PUSKESMAS BULELENG II Izin Praktik Bidan 57
503-
38.8/082/SIPB/DPMPPTSP/20 19
12-Jun-19 LUH SURIADI BD. BENGKEL, DS. ALASANGKER, KEC.
BULELENG RSUD KAB. BULELENG Izin Praktik Bidan
58
503-
38.8/083/SIPB/DPMPPTSP/20 19
12-Jun-19 NI MADE SRASTIANI BD. KAUHAN, DS. KEKERAN, KEC.
BUSUNGBIU
RSU. KARYA DHARMA
HUSADA Izin Praktik Bidan 59
503-
38.8/084/SIPB/DPMPPTSP/20 19
12-Jun-19 KADEK ARI PURYANTINI BD. PASEK, DS. KUBUTAMBAHAN, KEC. KUBUTAMBAHAN
BD. KAJEKANGIN, DS.
KUBUTAMBAHAN, KEC.
KUBUTAMBAHAN
Izin Praktik Bidan
60
503-
38.8/085/SIPB/DPMPPTSP/20 19
13-Jun-19 NOVA HANDAYANI P BD. GAMBUH, DS. SELAT, KEC SUKASADA
RSU KARYA DHARMA
HUSADA Izin Praktik Bidan 61
503-
38.8/086/SIPB/DPMPPTSP/20 19
19-Jun-19 NI LUH SUTRY ASTHINI BD. DESA, DS. GALUNGAN, KEC.
SAWAN PUSKESMAS SAWAN II Izin Praktik Bidan
62
503-
38.8/087/SIPB/DPMPPTSP/20 19
19-Jun-19 TRISNA ARDIANI BD. SEGARA, DS. GIRI EMAS, KEC.
SAWAN PUSKESMAS SAWAN II Izin Praktik Bidan
63
503-
38.8/088/SIPB/DPMPPTSP/20 19
19-Jun-19 NI KADEK MASI BD. KANGINAN, DS. SAWAN, KEC.
SAWAN PUSKESMAS SAWAN II Izin Praktik Bidan
64
503-
38.8/089/SIPB/DPMPPTSP/20 19
19-Jun-19 NYOMAN MUSIANI BD. DESA, DS. BEBETIN, KEC. SAWAN PUSKESMAS SAWAN II Izin Praktik Bidan
65
503-
38.8/090/SIPB/DPMPPTSP/20 19
19-Jun-19 NI PUTU GRINA YUNITA SARI
BD. BRAHMANA, DS. SAWAN, KEC.
SAWAN PUSKESMAS SAWAN II Izin Praktik Bidan
66
503-
38.8/091/SIPB/DPMPPTSP/20 19
19-Jun-19 GUSTI AYU ANIK ARIANI BD. ASAH, DS. GOBLEG, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan
67
503-
38.8/092/SIPB/DPMPPTSP/20 19
19-Jun-19 NYOMAN ARTAYANI BD. TENGAH, DS. GOBLEG, KEC.
BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan
68
503-
38.8/093/SIPB/DPMPPTSP/20 19
19-Jun-19 PUTU AYU ANGGRENI BD. SEKAR, DS. BANJAR, KEC. BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan
69
503-
38.8/094/SIPB/DPMPPTSP/20 19
19-Jun-19 NI KETUT RATIH WIRAASTUTI, A.Md Keb
JL. MERAK GG. MUDA NO. 9, KEL.
KAMPUNG ANYAR, KEC. BULELENG
RUMAH SAKIT BALIMED
BULELENG Izin Praktik Bidan 70
503-
38.8/095/SIPB/DPMPPTSP/20 19
21-Jun-19 LUH RIMAYANI BD. DANGIN MARGI, DS. TIRTASARI,
KEC. BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan 71
503-
38.8/096/SIPB/DPMPPTSP/20 19
21-Jun-19 NYOMAN KARIASTINI BD. DANGIN MARGI, DS. TIRTASARI,
KEC. BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan 72
503-
38.8/097/SIPB/DPMPPTSP/20 19
21-Jun-19 NI PUTU LINDAYANI BD. TAMBLINGAN, DS. MUNDUK,
KEC. BANJAR PUSKESMAS BANJAR II Izin Praktik Bidan 73
503-
38.8/098/SIPB/DPMPPTSP/20 19
21-Jun-19 NUR FADHILLAH, A.Md.Keb
DUSUN KUBU, DS. PEGAYAMAN, KEC. SUKASADA
DUSUN TIMUR JALAN
DESA PEGAYAMAN Izin Praktik Bidan 74
503-
38.8/099/SIPB/DPMPPTSP/20 19
27-Jun-19 NI LUH RATNA DEWI, A.Md. Keb
BD. NGIS, DS. TEMBOK, KEC.
TEJAKULA
BD. NGIS, DS. TEMBOK,
KEC. TEJAKULA Izin Praktik Bidan 75
503-
38.8/100/SIPB/DPMPPTSP/20 19
27-Jun-19 KADEK ERMAYANTI BD. KAJA, DS. BUSUNGBIU, KEC.
BUSUNGBIU PUSKESMAS BUSUNGBIU I Izin Praktik Bidan 76
503-
38.8/101/SIPB/DPMPPTSP/20 19
27-Jun-19 KADEK ERMAYANTI BD. KAJA, DS. BUSUNGBIU, KEC.
BUSUNGBIU
BD. KAJA, DS.
BUSUNGBIU, KEC.
BUSUNGBIU
Izin Praktik Bidan
77
503-
38.8/102/SIPB/DPMPPTSP/20 19
27-Jun-19 NI LUH WIDARMI BD. BADA, DS. MAYONG, KEC.
SERIRIT PUSKESMAS BUSUNGBIU I Izin Praktik Bidan
