DAFTAR NAMA PESERTA IZIN BELAJAR POLTEKKES KEMENKES KALTIM PRODI SERJANA TERAPAN KEPERAWATAN NERS KAB.

KUTAI BARAT
KALTIM TAHUN 2020/2021

No Nama Lengkap Alamat Jenis Tanggal Lahir Status NIP/NRTKK GOL Unit Kerja Tahun Lulus Nomor NIRA Nomor HP
Kelamin Pegawai

1 Kartini, A.Md.Kep Jalan Islamic Centre II RT 033 Melak Ulu Wanita 7/7/1967 PNS 19670707 199102 2 001 III D RSUD HIS 2008 64020005889 082158554545

2 Sarniati Pademme, A.Md.Kep Ngenyan asa RT 06 kecamatan barong tongkok Wanita 9/17/1980 PNS 19800917 200604 2 010 III C RSUD HIS 2008 64020005934 081346401430

3 Cornelius Hariyanto, A.Md.Kep Jalan S. Hasanuddin RT 016 Simpang Raya Barong Tongkok Pria 14/101980 PNS 19801014 200312 1 003 III C RSUD HIS 2008 64020005842 081250401212

4 Mardamme Arpan Naibaho, A.Md.Kep Kp. Sumber Bangun RT 004 Kec. Sekolaq Darat Pria 10/1/1979 PNS 19791001 200502 1 005 III D RSUD HIS 2001 64020005846 082157069690

5 Swita Winarni, A.Md.Kep Jalan Lada RT 001 Kec. Barong Tongkok Wanita 9/8/1986 PNS 19860908 201001 2 008 III C RSUD HIS 2008 64020005946 082254792080

6 Puji Rahayu, A.Md.Kep Jalan Kamboja RT 009 Kp. Sumber Sari Kec. Barong Tongkok Wanita 2/6/1980 PNS 19800206 200801 2 021 III C RSUD HIS 2001 64020163318 081345083540

7 Cicilia Sari Padaruntung, A.Md.Kep Jalan D.I Panjaitan NO 66 RT 015 Busur Barong Tongkok Wanita 1/19/1987 PNS 19870119 201403 2 003 III A RSUD HIS 2008 64020005841 085349883388

8 Ice Krisneki, A.Md.Kep Jalan Imam Bonjol RT 004 Simpang Raya Barong Tongkok Wanita 6/15/1984 PNS 19840715 201001 2 015 III C RSUD HIS 2006 64020005879 085246330253

9 Erni Wahyuni, A.Md.Kep Kp. Sumber Bangun RT 002 Kec. Sekolaq Darat Wanita 11/13/1980 PNS 19801113 200801 2 015 III B RSUD HIS 2010 64020005859 08115903353

10 Dahlia Setiawati, A.Md.Kep Jalan Trans Kalimantan RT 006 Kec. Damai Wanita 12/1/1980 PNS 19801201 200604 2 015 III D RSUD HIS 2005 64020005844 081347028310

11 Indrianti, A.Md.Kep Kp. Sumber Bangun RT 001 Kec. Sekolaq Darat Wanita 8/18/1972 PNS 19720818 200312 2 007 III C RSUD HIS 2008 64020005886 081346403675

12 Rosalina Tandiliono, A.Md.Kep Jalan Jaksa Mamahit RT 004 Damai Kota Kec. Damai Wanita 5/21/1978 TKK 19780521 200507 2 008 TKK RSUD HIS 2010 64020005929 081250905718

13 Melissa Yetmiliana, A.Md.Kep Kp. Pepas Eheng RT 002 Kec. Barong Tongkok Wanita 4/24/1985 TKK 19850424 200804 2 001 TKK RSUD HIS 2007 64020005905 082157781282

14 Lydia Kurniati, A.Md.Kep Perum Korpri Graha Sendawar Asri Blok B5 No 10 RT 009 Kp.Sumber Sari Wanita 9/20/1978 PNS 19780920 200312 2 004 III C RSUD HIS 2010 64020005895 81258891849

15 Herfan Suhariyono, A.Md.Kep Jl. Islamic Center Gang Sajadah III Pria 9/7/1984 PNS 19840907 201403 1 002 IIIA UPT Puskesmas Gunung Rampah 2006 64020140811 85393977887

16 Meiliani Br Singarimbun, A.Md.Kep Jl. KH. Dewantara RT 28 Melak Wanita 5/18/1981 PNS 19810518 200801 2 024 IIIC UPT. Puskesmas Gunung Rampah 2002 64020134071 81353453089

17 Evie Herlinda, A.Md.Kep Jl. P. Antasari RT 01 Barong Tongkok, kec. Barong Tongkok, kab. Kutai Barat Wanita 1/31/1989 PNS 19890131 201903 2 013 IIC UPT. Puskesmas Gunung Rampah 2010 64020005862 81268838004

18 Evert Candra, A.Md.Kep Geleo Asa RT. 02 Pria 3/17/1991 PNS 19910317 201403 1 002 IIIA UPT. Puskesmas Gunung Rampah 2012 64020140824 82219004777

19 Nika, A.Md.Kep Jln. Bina Warga RT.002 Barong Tongkok Wanita 3/7/1978 PNS 19780307 200902 2 001 IIIC Puskesmas Barong Tongkok 2005 64020140870 81347972738

20 Anga, A.Md.Kep Barong Tongkok Wanita 6/20/1976 PNS 19760620 200801 2 010 IIIB Puskesmas Barong Tongkok 2010 64020140868 81253631803

21 Agustina Telan, A.Md.Kep Barong tongkok Wanita 8/29/1980 PNS 19800829 200801 2 019 IIIC Puskesmas barong tongkok 2003 64020005832 81346497260

22 Wenda Feli Windra, A.Md.Kep Besiq RT 2 Wanita 3/29/1992 PNS 19920329 201903 2 024 IIC PUSKESMAS BARONG TONGKOK 2014 64020408880 82297444163

23 Eni Lestari, A.Md.Kep Kamp.Purwodadi Rt 4 kec.Lg bigung Wanita 1/24/1978 PNS 19780124 200604 2 017 IIID Upt.Pkm Barong Tongkok 2000 64020140880 82357776705

24 Ester Yuanita, A.Md.Kep Kamp.Muara asa Rt 3 Wanita 9/29/1975 PNS 19750929 200604 2 021 IIIA Upt.PKM Barong Tongkok 2010 64020140878 82254963319

25 Marselinus Febriadi, A.Md.Kep Jl mencimai rt 1 kutai barat Pria 2/1/1983 PNS 19830201 201001 1 011 IIIB Puskesmas barong tongkok 2007 64020150177 85252505077

26 Lilis Kumalawati, A.Md.Kep Jl KH.ahmad Dahlan RT 1 barong tongkok Wanita 4/9/1974 PNS 19740409 200502 2 002 IIIB Puskesmas barong tongkok 2010 64020140867 81347985292

27 Murtinawati, A.Md.Kep Sumbersari RT 09 Wanita 5/24/2013 PNS 19730524 200312 2 002 IIIB UPT Pkm BArong Tongkok 2010 64020150183 85250308920

28 Suhartini, A.Md.Kep Barong tongkok Wanita 8/28/1982 PNS 19820828 200701 2 009 IIIC Puskesmas barobg tongkok 2002 64020150208 85347362992

29 Veronika Susanti, A.Md.Kep Gemuhan Asa RT. 4 Wanita 6/4/1986 TKK 440.06.098 Puskesmas Barong Tongkok 2008 64020140882 82158818139

30 Sesilia Olivia Eprila.N, A.Md.Kep Geleo baru rt 2.kecamatan barong tongkok.kabupaten kutai barat Wanita 4/30/1986 PNS 19860430 201101 2 012 IIIB Upt puskesmas barong tongkok 2008 64020140871 81347198432
31 Maria Yustina Melika.Amd,Kep Kampung Mencimai kecamatan Barong Tongkok Wanita 12/10/1973 PNS 19731210 200604 2 017 IIIB Puskesmas Barong Tongkok 2010 64020150808 81250455123

32 Desy Yohanti, A.Md.Kep Jln. Gajah mada RT. 02 Barong Tongkok Wanita 12/12/1988 PNS 19881212 201001 2 005 IIIB Puskesmas sekolaq darat 2009 64020159075 81346617288

33 Mardiyah Trijayanti, A.Md.Kep SUMBER SARI RT 7 Wanita 3/14/1982 PNS 19820314 200701 2 007 IIIB PUSKESMAS SEKOLAQ DARAT 2018 64020152898 81347093459

34 Fallentina Bengan, A.Md.Kep Sumber Bangun RT 4 Wanita 2/8/1981 PNS 19810208 200902 2 001 IIIC Puskesmas Sekolaq Darat 2003 64020152895 8125824554

35 Maria Sriwahyuni, A.Md.Kep Jl.perjuangan rt.14 Busur Barong tongkok Wanita 10/18/1990 PNS 19901018 201903 2 021 IIIC UPT Puskesmas Sekolaq Darat 2011 64020152893 82153435666

36 Julianti Siburian, A.Md.Kep Sekolaq Oday rt.2 kec.Sekolaq Darat Wanita 5/21/1983 PNS 19830521 200902 2 002 IIIC Puskesmas Sekolaq Darat 2005 64020152894 81256526289

37 Mira Trisnawaty, A.Md.Kep Jl ki hajar dewantara rt 26 no 19 kel melak ulu Wanita 5/18/1982 PNS 19820518 200801 2 021 IIIC Puskesmas melak 2003 64020152856 85247975005

38 Taufik Oktavianur, A.Md.Kep Kampung Sumber sari rt 9 . Kecamatan barong tongkok Pria 10/30/1996 PNS 19961030 201903 1 003 IIC Puskesmas melak 2017 64020518222 85246823250

39 Farida Haryani, A.Md.Kep Jl. R.A Kartini RT 30 Melak Ulu Wanita 7/11/1982 PNS 19820711 200701 2 004 IIID Puskesmas Melak 2003 64020152860 8115803826

40 Marcelina Bulan, A.Md.Kep Jln. Nyelau No 182 RT. 08, Kapling Simpang Raya, Kec. Barong Tongkok Wanita 4/26/1983 PNS 19830426 201403 2 001 IIIA Puskesmas Dempar 2004 64020259566 81251327897

41 Yuke Bagensa, A.Md.Kep Desa Dempar RT 003 kecamatan Nyuatan Wanita 3/23/1991 PNS 19910323 201903 2 028 IIC UPT.Puskesmas Dempar 2013 64020152868 85250944178

42 Nova Karlina, A.Md.Kep Jl. Mara Hajaq RT. 08 Lg. Melapeh Kec. Lg. Bigung Wanita 11/21/1992 TKK UPT. Puskesmas Linggang Bigung 2014 64020140879 81346447713

43 Martha Lirung Hanye, A.Md.Kep Jl. Tabalas. Linggang melapeh.rt.9 Wanita 5/25/1972 PNS 19720525 200312 2 006 IIIB Puskesmas Linggang Bigung 2008 64020140872 82264995396

44 Arista, A.Md.Kep Kampung Linggang Mapan RT.03 Wanita 1/10/1984 PNS 19840110 201101 2 007 IIIB UPT PKM Linggang Bigung 2007 64020140881 81346402010

45 Agustinus Ding, A.Md.Kep Tering Lama RT 10 Kec.Tering Kab.Kutai Barat Pria 8/19/1984 PNS 19840819 200902 1 001 IIIC Puskesmas Damai 2005 64020134110 82157005432

46 Elsa Leolita, A.Md.Kep Kamp. Mendika rt 002 kec. Damai Wanita 8/8/1992 PNS 19920808 201903 2 028 IIC UPT. PUSKESMAS DAMAI 2013 64020134102 81348286019

47 Magdalena Yupitasari, A.Md.Kep Barong Tongkok Wanita 7/31/1992 PNS 19920731 201403 2 001 IID UPT. Puskesmas Damai 2013 64020150207 82157720944

48 Serafina Supiah, A.Md.Kep Jln.trans kalimantan Rt.01 Kamp.Keay Kec.Damai Kabupaten Kutai Barat Wanita 9/29/1986 PNS 19860929 201101 2 012 IIIB UPT.PUSKESMAS DAMAI 2008 64020134105 81346367696

49 Dwi Ambarwati, A.Md.Kep Kampung Muara Tokong RT 003 Kecamatan Damai.Kutai Barat Wanita 1/10/1971 PNS 19710110 200502 2 004 IIID UPT PUSKESMAS DAMAI 1992 64020134108 81347485113

50 Valentina Br. Tambunan, A.Md.Kep Jl.Trans Kalimantan Kampung Cempedas RT 03 no.6 Kecamatan Muara Lawa Wanita 10/15/1976 PNS 19761015 200604 2 017 IIIC UPT Puskesmas Lambing 2008 64020140830 82158513544

51 Bertaniar Ompsunggu, A.Md.Kep Muara Lawa RT 04 Wanita 8/2/1985 TKK UPT Puskesmas Lambing 2007 64020140821 85332442136

52 Gita Arnike, A.Md.Kep Kampung Bermai Wanita 5/11/1994 PNS 19940511 201903 2 022 IIC Upt. Puskesmas Besiq 2016 64020455860 81350359661

53 Gabriela Grasiana, A.Md.Kep Muara Nyahing RT 02 Wanita 7/11/1982 PNS 19820711 201101 2 024 IIIB Puskesmas Besiq 2005 64020150194 82158691278

54 Syaiful Alamsyah Pribadi, A.Md. Kep Tering Seberang RT 1 Kec. Tering Pria 8/28/1979 PNS UPT PKM TERING 2001 64020140806 8114011184

55 Erpiana, A.Md.Kep Jl. Gajah Mada RT 009 Tanjung Isuy Kec. Jempang Kutai Barat Kaltim Wanita 12/30/1977 PNS 19771230 200604 2 016 IIIC Dinas Kesehatan Kabupaten Kutai Bara 2000 64020134081 82250638752

56 Dadang Supriatna, A.Md.Kep Siram Jaya RT 04 Bongan, Kubar Pria 6/15/1976 PNS 19760615 199603 1 004 IIIC UPT. Puskesmas Jambuk 2005 64020152883 081347707079

57 Prasetiawan, A.Md.Kep Dilang Puti Pria 6/12/1991 PNS 19910612 201903 1 013 IIC UPT. Puskesmas Dilang Puti 2013 64020150225

58 Elysa Sriwidastuti, A.Md.Kep Jl. Raden Baroh RT. 06 Kmp. Tanjung Laong Wanita 1/28/1982 PNS 19820128 200801 2 108 IIIC UPT. Puskesmas Muara Pahu 2003 64020134059 08125033 2711
59 Ely Prasetyana, A.Md.Kep Jl. Raden Baroh RT. 06 Kmp. Tanjung Laong Wanita 10/20/1984 PNS 19841020 201903 2 014 IIC UPT. Puskesmas Muara Pahu 2005 64020134072 082251820098
60 Sugianto, A.Md.Kep Jl. Raden Baroh RT. 06 Kmp. Tanjung Laong Pria 11/21/1979 PNS 19791121 200902 1 001 IIIC UPT. Puskesmas Muara Pahu 2001 64020134058 081346564876