TIM STR CABANG

STR
NO. NAMA LENGKAP TANPA GELAR

NO. STR MASA BERLAKU

1 ANI NUFIASTUTI
2 ANITA
3 ANITA SUMARNI
4 ANNISA NURANI DEWI 1102622213412254 15 April 2026
5 APRILIA NOVIYANTI
6 ARTIXKA MEILAWATI
7 ASTRI OKTAVIYANTI
8 ATIFATUL LUTIAH 110252222-4157736 6 December 2027
9 DARA MURIANI 1102522224323332 ###
10 DEASY RAHMADANY
11 DESI MEGAWATI 1102522224381112 ###
12 DETY DAMAYANTI 110252222-4183606 31 May 2027
13 DEVI DAMAYANTI
14 DEWI MARLINAH
15 DEWI SUKMAWATI 1102521191598306 13 January 2023
16 DIAN EKA PURWANINGSIH
17 DIAN IKA YANTI
18 ELFRIDA TURNIP
19 EMA SUPARDJI 110262222-4183708 11 May 2027
20 EMMA DEWI AMELYANA
21 ENI MARYANA
22 ENI SUNDARI
23 ERNAWATI 110252222-4235836 28 April 2027
24 ERNI ALISAH SINAGA
25 EUIS ROSLIANI
26 FARIDA
27 FIFI FITRIA
28 FITRIA TUNGGAL DEWI 1102522203242420 13 April 2025
29 HABIBAH SEPTIYANTI
30 HABIBATUL ADAWIYAH 120252118-2250042 08 June 2023
31 HADIJAH 11 02 5 2 1 21-3496057 3 July 2026
32 HAERUNISYAH
33 HASANAH
34 HAWARINA
35 HAYATI NUPUS
36 HENI FAJRIN
37 HERAWATI 1102522203289815 18 Septber 2025
38 HERI YULIANTI FRANSISKA
39 HUSNUL KHOTIMAH 1102622213451709 21 October 2026
40 II 'MARIAH
41 IIM IKLIMA 1102521140823219 14-05-2019
42 IIN PURWANTI 110252222-4245115 24-02-2027
43 IIS NURAIDA 110252222-4276774 06August 2027
44 IIS PARHATI 110282118-2203032 16-04-2023
45 IIS SUMARNI
46 ILMIYANI
47 IMAS ROHIMAS
48 IRA PUSPASARI
49 IRITA RINA SONYOWATI
50 ISWANTI
51 JUJU JUHAERIYAH
52 LASRIA SORMIN
53 LIDIA MARSIH 1102722224180574 04-04-2027
54 LIFIA ESA
55 LINDA PUSPITAWATI
56 LINDRI PUJI ASTUTI 110252222-4323837 17-12-2027
57 LISDIANAH 1102522224282307 07-01-2027
58 LISNAWATI
59 LISTIANINGSIH
60 LIZ ELVIN EKAWATI
61 LULU MUHAYAROH
62 LUSIA NUNIK SRI WAHYUNI
63 LUSIANAH 1102522171312903 11-12-22
64 MADE DIAN YUNIARI
65 MAR'ATUS SHOLIKAH 110252220-3325273 4/7/2025
66 MARGARETA SUSILIA
67 MAYYULIANI PUTRI DEWI
68 MIMI BAHRIATUL KAMILAH
69 MUDRIKAH 1102522224332355 ###
70 MUFLIHAH 110252118-1506464 23 June 2023
71 MUMUN MUNAYAH
72 MYLLA SARI 1102522224237923 17 March 2027
73 NENENG ERNAWATI
74 NENENG FATIMAH 110262221-3429902 13 October 2026
75 NENENG NURHASANAH
76 NENENG SARWITI 1102522214074048 ###
77 NENENG SUHAERIYAH
78 NENG NITA ROSITA 11 02 5 2 2 21-3492397 25 July 2026
79 NENI YUNENGSIH 1102522213412381 25 March 2026
80 NINA RISDIANI
81 NISA SOLEHATI
82 NOVI YANTI 110272221-4022659 6 November 2026
83 NOVITA SARI
84 NUNUNG 11 02 5 2 2 21-3428005 28 February 2026
85 NURHAYANAH 1102522213412252 9 February 2026
86 NURIAH
87 NURLENAH 110252221-3404298 24 April 2026
88 NURRUL ROHMA
89 NURUL WULANDARI
90 OMSAH 110252219-3092149 ###
91 PANDE KADEK ARISTA 100152116-1227403 29 March 2021
92 PARTINI 110252221-4037144 19 August 1972
93 RESI ROHIMAH 1102522224269732 21 agust 2027
94 REZKY WULAN SARI 1102522213500796 19 February 2026
95 RIRI FARIHATUL ZANNAH 18 January 2027
96 ROPIKA 1102622224193799
97 ROSIE BERLIANI ARTI
98 SARNELIS 12 02 5 2 1 18-2352396 ###
99 SARTIKA
100 SENENG WAHYUTI 110252221-4034778 03 August 2026
101 SITI AISYAH
102 SITI ALAWIYAH 11 02 5 2 2 22-4194826 6 April 2027
103 SITI ALIFAH 11 02 5 2 2 21-4026997 01 February 2026
104 SITI ALIYAH 11 02 5 2 2 22-4183381 05 March 2027
105 SITI AMALLIA
106 SITI BARKATUNNISA
107 SITI DEWI 1102522224349693 21 May 2027
108 SITI HODIJAH
109 SITI HOJAH 110262222-4256616 02 August 2027
110 SITI HOLILAH
111 SITI KOMALASARI
112 SITI LATIPAH 1102522193026044 29 January 2024
113 SITI NOER LAELA
114 SITI NURAENI
115 SITI NURBAINI
116 SITI NURLATIFAH
117 SITI NURLELAH 110262221-4030279 01-02-2026
118 SITI PARIDAH 110252222-4269860 10-July-2027
119 SITI PATIMAH
120 SITI ROBIATUL HADAWIYAH 110252118-1591130 18-05-2023
121 SITI ROKAYAH 110252118-1506434 14-06-2023
122 SITI ROMLAH 110252116-1238434 19 May 2021
123 SITI ULPIPAH
124 SITI ULYAH
125 SITI ZAKIYAH 110262118 - 2397504 15-10-2023
126 SITI ZULAEHA
127 SIVIA HIDAYATI 11 02 5 2 1 19-3135525 28-07-2024
128 SRI AYU RISKA SYAFITRI 11 02 5 2 2 20-3371624 05-03-2025
129 SRI HARTINI
130 SRI PURWANTI
131 SRI RUHMIATI
132 SRI SUSANTI
133 SUKRIAH
134 SURYANI
135 TATIK NURDIANINGSIH 110252221-3505850 26 June 2026
136 TETRI SETIANINGSIH
137 THERESIA WULANSARI
138 TITIN
139 TRESNA JUANITA
140 USNIAH 110252222-4218387 28 June 2027
141 USNIATI RAHMAH
142 VIVIN HARVIANTI 110252222-4217894 12 June 2027
143 WINDA 1102522213510841 20 July 2026
144 WISYE LEWERISSA
145 WIWIK APRIYANTI
146 YAYAH NURLATIFAH
147 YENI OKTAVIANI 1102521172049683 25 October 2022
148 YOHAN OCTAVIANI *1102522172169540 21 October 2022
149 WIKE PRASTIKA
150 PRIMARTI ENDANG PALUPI
151 TITIN SUSTINI
152 ANI MEILANI 1102522224355018 11 mey 2027
153 BELLA NADYA ULFAH 1102522224263983 28 May 2027
154 EULIS RAHMAWATI
155 GRACE ANDRIATY 110262221-3496207 21 Dec 2026
156 EKA PUTRI DERMALENA
157 LAFIATUL SURTIYAH
158 MAYLINDA DAMAYANTI
159 NURUL ROHMAH
160 NURUL ADILA
161 SILVIA HIDAYATI
162 SITI HOPIPAH 1102521191598307 ###
163 LAILATUT TARWIYAH 110252222-4245387 8 July 2027
164 EKA APRILIA
165 NUR'AENI 110252122-4332013
166 HADIJAH
167 LASTRI RESMIANT
168 LIA HAYATI NUPUS
169 MINA UMAYATI
170 RATMINI
171 SITI NELI 1102622214119342 06 February 2026
172 SRI PUJI ASTUTI
173 WIDYA PUSPITA
174 SITI MAMAY HUMAIROH
175 LIA NOPIANTI
176 RESTUTI APRIYANTIH
177 HALIMAH TUSA'DIYAH
178 IRMA NOPITA SARI 1102522224382824 10 Sept 2027
179 LUSI HARYANTI 1102521213499297 24 August 2026
180 RUSTINI
181 SRY HARTATY HASIBUAN
182 TASYA LENGKANA DEWI
183 VERA SAFITRI 1102521172049682 12 Feb 2022
184 MINAWATI 110252118-1591122 ###
185 HODIJAH
186 BAROKAH
187 DEWI CANDRAWULAN
188 SITI MUSYAFIROTUL HASANAH
189 LEGA JUANITA
190 RISTA RIANA SARI
191 SYAIDATUL AKMALIA
192 YANI 11 02 5 2 2 22-4438748 ###
193 EKA APRILIA ARIESTANINGSIH 1102521140813846 01 April 2013
194 RATMINI 29062027
195 IMAS ROHIMAS
196 1102622214119342 06 February 2026
197 Laelatul Subtiah
198 MADE DIAN YUNIARI 110252222-4255305 28 June 2027
 TIM WAKIL II CABANG
PERIZINAN
AKUN SIPORLIN PMB
BERIZIN (NO. SIPB) MASA BERLAKU TIDAK BIDAN DESA
BERIZIN

446.96/BD/I/106-DPMPTSP/2021 15 April 2026

446.4/1999/BD/8122-Dinkes/2019 29 December 2022

Dety Damayanti 446.4/0968/BD/4309-Dinkes/2019 31 May 2022

3603162956

emasupardji@gmail.com Ema Supardji 446.96/BD/I/711-DPMPTSP/2022 11 May 2027

Ernawati 446.96/BD/1/675-DPMTSP/2022 28 April 2027

Herawati 446.96/BD/I/546-DPMPTSP/2021

HERAWATI 446.96/BD/I/545-DPMPTSP/2021

IIS PARHATI 446.4/2150/BD/8607-DinKes/2019 16-04-2023

 Lisdianah 446.96/BD/1/715-DPMPTSP/2022 2022

lusianah 446.4/2087/BD/8843-DINKES/2018 11 December 2022

446.96/BD/1/112-DPMPTSP/2021 4/7/2025

Muflihah 446.4/2640/BD/10824-Dinkes/2018 23 June 2023

446.96/BD/I/506-DPMPTSP/2022 17 March 2027

446.96/BD/1/676/-DPMPTSP/2022 13 October 2026

446.96/BD/1/ 108-DPMPTSP/2021 25 March 2026

noviyanti061180@gmail.com 446.96/BD/I/306-DPMPTSP/2022 6 November 2026

446.96/BD/I/107-DPMPTSP/2021 9 February 2026

Nurlenah 446.96/BD/1/625- DPMPTSP/2022 24 April 2026

446.96/BD/I/037-DPMPTSP/2020 12 December 2024

446.96/BD/I/314/-DPMPTSP/2022 19 August 1972

resirohimah85@gmail.com 446-4/1998/BD/8121/-Dinkes/2019 21-08-2022 √
446.96/BD/I/23-DPMPTSP/2022 19 February 2026
vikarofika18@gmail.com

Nellis 446.4/0291/BD/4342-Dinkes/2012

446.96/BD/1/495-DPMPTSP/2022 03 August 2026

Siti alawiyah
Siti Hojah 446.96/BD/1/706-DPMPTSP-2022
Siti Aliyah 446.96/BD/1/709-DPMPTSP/2022 05 March 2027

Siti Hojah 446.96/BD/1/706-DPMPTSP-2022 02 August 2027

Siti Nurlelah 446.99/BD/l/294-DPMPTSP/2022 01-02-2026
4464/1817/BD/744/Dinkes/2019 07 October 2022

bidan ahadijah 446.96/BD/I/110-DPMPTSP/2022 18-05-2023

SITI ZAKIYAH 446.96/BD/1/95- DPMPTSP[2022 15-10-2023

klinik 446.96/Bd/II/499DPTMPSP/2021 24 June 2026 - -

446/Bd.314/SIP.I/DPMPTSP/2022 28 May 2027

446.4/0571/BD/2370-Dinkes/2019 04 December 2023

360321090343 0 0 0 0 0

363924253299 0 0

3603101947
727848445589
 SEKRETARIS CABANG
TEMPAT KERJA PENDIDIKAN TERAKHIR

NAMA NO. IZIN MASA BERLAKU D1 D3 D4 S1

klinik athallah 445.6/T/Kep.30-IK/DPMPTSP/2021 2026 2007 2011

2011

2007
PMB Siti Aliyah 2006

Puskesmas Sepatan 446.4/0570/BD/2368-DinKes/2019 2023 2007 2021

2001 2018

PMB siti alawiyah 2012

2013

2017
2020

2013
klinik athallah 445.6/T/Kep.30-IK/DPMPTSP/2021 2026
2015

2013
Puskesmas Sukawali 446.96/BD/I/489-DPMPTSP/2022 24-02-2027 2008 2021
Puskesmas Kedaung Barat 2012
PMB IIS PARHATI, S. S. T, BD 446.4/2150/BD/8607-DinKes/2019 16-04-2023 2008 2014

2010 2018

RSIA SEPATAN MULIA 2016

 2011

2015

RSUD PAKUHAJI 2014

2011
PMB Muflihah 446.4/2640/BD/10824-Dinkes/2018 2023 2004 2015

klinik athallah 445.6/T/Kep.30-IK/DPMPTSP/2021 2026 2016

PMB 446.96/BD/1/676-DPMPTSP/2022 13 October 2026 2017

Klinik Pega Cita 2017

PUSKESMAS KEDAUNG BARAT 446.96/BD/1/302-DPMPTSP/2022 25 July 2026 2009

klinik athallah 445.6/T/Kep.30-IK/DPMPTSP/2021 2026 2011

2014

PUSKESMAS KEDAUNG BARAT 446.96/BD/I/595 - DPMPTSP/2021 28 February 2026 2008 2021

klinik athallah 445.6/T/Kep.30-IK/DPMPTSP/2021 2026 2003

PMB 1998 2012 2016

RSUD Pakuhaji 446.96/BD/I/037-DPMPTSP/2020 ### 2013

Puskesmas Sepatan 446.96/0614/SIKB/3576-Dinkes/2018 29 March 2021 2009
Puskesmas Kedaung Barat 446.96/BD/I/314/-DPMPTSP/2022 19 August 1972
puskesmas kedaung barat 446-4/1998/BD/8121/-Dinkes/2019 21-08-2022
puskesmas kedaung barat 446.96/BD/I/23-DPMPTSP/2022 19 February 2026 2012

2008

RSUD Pakuhaji 446.96/BD/1/495-DPMPTSP/2022 2012

2010
PMB Siti Hojah 2015
PMB dety damayanti 2012

RS Mitra Husada Tangerang 446.96/BD/I/ 629 - DPMPTSP/2022 2016

PMB 446.96/BD/1/706-DPMPTSP-2022 02 August 2027 2008 2014

RSIA Sepatan Mulia 446.4/2050/BD/8019-DINKES/2019 2013 2016

puskesmas kedaung barat 4464/1817/BD/744/Dinkes/2019 07-10-2022 2008

PMB 2018
RSUD Pakuhaji 446.96/0458/SIKB/3172-DinKes/2018 2001 2020
klinik dr.nas 2015

RSUD PAKUHAJI - - 1996 2008 2013

RSIA SEPATAN MULIA

RSUD PAKUHAJI 446.96/BD/I/60-DPMPTSP/2021 05 March 2021 2014

Puskesmas 446.96/Bd/499 2424-06-2026 1994

Puskesmas 446.96/BD/I/187-DPMPTSP/2022 2016

Puskesmas Kedaung Barat 446.96/BD/1/208-DPMPTSP/2022 12 June 2027 2013

puskesmas 2008

2006

Klinik PT Panarub 8120113012949 04-01-2027 2011

RSU KABUPATEN TANGERANG 2016 2019

Puskesmas 446.96/BD/I/ 546-DPMPTSP/2022 21 Dec 2026 2005 2019

Puskesmas Sepatan 446.4/0571/BD/2370-Dinkes/2019 ### 2007 2021

2011

Puskesmas sepatan 44.696/0623/SIKB/3577-DinKes/2018 06 February 2022 2016 2017

Klinik Pega Cita 2016
2020

klinik yadika 2016

2018

Puskemas Sepatan 2016

2013
5988 116649 44374 0

2014
 TIM WAKIL I CABANG
PELATIHAN DARI TH 2017-2022
PROFESI
KELAS
S2 S3 PPGDON PONED PONEK CTU APN PI ASPIKSIA KIP-K ABPK LAKTASI IBU BBLR MTBM
HAMIL

2021 2021

2015

2017

2022 2011

2022

2017

2018

2017

2018 2015 2014

2014 2015 2016

2021 2021

2021 ###
 2015 2012 2015 2014

2015

2013

2018

2017

2018

2021 2021

2017
2018

2017

2017
2015

2022 2017

2021 2021

2015
 2022

2019

2021 2007 2018 2018 2007 2007

2017

2019 2021 2017 2020

2015

2016 2021 2016 2018 2018 2015 2019 2018

2017

2016

2022 2015

2022 2022

bidan 2022-2027
 Bidan 2017-2022
2020-2025

Bidan
2019-2024

2018
2013 2018
6056 0 20212 8080 8058 2022 4033 ### ### 14107 0 6047 6045 0 0 2007
 SEKRETARIS CABANG BIDEL
TEMPAT BEKERJA SAAT INI GOLONGAN KERJA
BIDEL CABIDEL
MTBS ASKEB IVA DINAS RS PUSKESMAS KLINIK DI PMB ASN KONTRAK SWASTA

✓ ✓

✓ ✓

2022

✓ ✓

2021

2022

√
v
✓ ✓ ✓

√
 2022

1 1 2021
ASN
RS

√
PMB ✓

✓ ✓

2022

✓ ✓ ✓

2018

dinas kesehatan ✓ ✓
ya
Dinas Kesehatan Puskesmas kedaung barat Ya
dinas kesehatan puskesmas kedaung barat ya
dinas kesehatan puskesmas kedaung barat ya

RSUD Pakuhaji ya

2022

2022

2018
 2018
Dines Kesehatan Puskesmas Kedaung Barat ya

2022
2007 RSUD Pakuhaji III c
klinik dr.nas ya

RSUD PAKUHAJI IIIC

DINKES KAB. TANGERANG 2019

2022 2022 2007 2018

2018 2018

Puskesmas ya

V V

√ √
√

✓ ✓
 √ √

√ √

2007 0 0 0 2020 4040 2022 2022 2007 2019 0 12114 12132

BIDEL

BELUM
DAFTAR
0